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1699017764
AMY S PETERSON
JEROME, ID
NPI
1699017764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: VA 101-17560)
Enumeration Date
2013-03-26
Last Update Date
2013-03-26
Business Address
-- AMY S PETERSON IBCLC
805 4TH AVE DR
JEROME, ID 83338-2104
Phone number: 208-308-1350
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Mailing Address
-- AMY S PETERSON IBCLC
805 4TH AVE DR
JEROME, ID 83338-2104
Phone number: 208-308-1350
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