JEFFERSON L. PETERSEN

SPRINGFIELD, MO
NPI1528490711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2013025606)
Enumeration Date2013-07-30
Last Update Date2013-07-30
Business Address
-- JEFFERSON L. PETERSEN CRNA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
Mailing Address
-- JEFFERSON L. PETERSEN CRNA
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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