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1659459139
GEOFFREY DEANE PETERSON
CHATTANOOGA, TN
NPI
1659459139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 6940)
Enumeration Date
2006-11-01
Last Update Date
2008-04-30
Business Address
-- GEOFFREY DEANE PETERSON APN
6925 SHALLOWFORD RD APT 206
CHATTANOOGA, TN 37421-1787
Phone number: 423-894-0432
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Mailing Address
-- GEOFFREY DEANE PETERSON APN
1312 N GLEN DR
HIXSON, TN 37343-4344
Phone number: 423-667-9367
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