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1669017315
TRISH R PETERSON
POPLAR BLUFF, MO
NPI
1669017315
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Former Name
PATRICIA A PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2019036575)
Enumeration Date
2019-11-15
Last Update Date
2021-04-08
Business Address
TRISH R PETERSON FNP-C
2210 BARRON RD STE 112
POPLAR BLUFF, MO 63901-1908
Phone number: 573-785-0889
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Mailing Address
TRISH R PETERSON FNP-C
PO BOX 801143
KANSAS CITY, MO 64180-1143
Phone number: 573-331-5583
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