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1790514461
EDNA PEARLEEANNE PETERSON
FARGO, ND
NPI
1790514461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: ND 143356)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
EDNA PEARLEEANNE PETERSON CNA
112 UNIVERSITY DR N STE L140
FARGO, ND 58102-4635
Phone number: 218-880-1520
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Mailing Address
EDNA PEARLEEANNE PETERSON CNA
202 5TH ST NW APT 14
DILWORTH, MN 56529-1086
Phone number: 218-880-1520
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