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1609842525
ALISA GAY PETERSON
STEPHENVILLE, TX
NPI
1609842525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX L7109)
Enumeration Date
2006-02-28
Last Update Date
2008-05-21
Business Address
-- ALISA GAY PETERSON Do
411 N BELKNAP ST
STEPHENVILLE, TX 76401-3415
Phone number: 254-965-1152
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Mailing Address
-- ALISA GAY PETERSON Do
PO BOX 910042
DALLAS, TX 75391-0042
Phone number: 972-788-1692
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