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1760720353
DEAVON ALISHA PETERSON
LAFAYETTE, LA
NPI
1760720353
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Former Name
DEAVON CORMIER PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07245)
Enumeration Date
2013-01-17
Last Update Date
2018-05-21
Business Address
DEAVON ALISHA PETERSON FNP-C
1103 KALISTE SALOOM RD STE 208
LAFAYETTE, LA 70508
Phone number: 337-234-3757
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Mailing Address
DEAVON ALISHA PETERSON FNP-C
1103 KALISTE SALOOM RD STE 208
LAFAYETTE, LA 70508-5784
Phone number: 337-234-3757
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