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1770721714
REGINA LYNN PETERSEN
VISTA, CA
NPI
1770721714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA16911)
Enumeration Date
2009-01-29
Last Update Date
2015-01-28
Business Address
-- REGINA LYNN PETERSEN PA-C
145 THUNDER DR
VISTA, CA 92083-6010
Phone number: 760-630-5487
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Mailing Address
-- REGINA LYNN PETERSEN PA-C
145 THUNDER DR
VISTA, CA 92083-6010
Phone number: 760-630-5487
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