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1821012386
JAY WADEMAN PETERSON
ALBUQUERQUE, NM
NPI
1821012386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM R48991)
Enumeration Date
2006-07-27
Last Update Date
2008-10-23
Business Address
Mr. JAY WADEMAN PETERSON CNP
201 CEDAR ST SE STE 800
ALBUQUERQUE, NM 87106-4917
Phone number: 505-563-2800
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Mailing Address
Mr. JAY WADEMAN PETERSON CNP
201 CEDAR ST SE STE 800
ALBUQUERQUE, NM 87106-4917
Phone number: 505-563-2800
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