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1861741480
JEANNE LYNN PETERSON
PHOENIX, AZ
NPI
1861741480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5187)
Enumeration Date
2012-08-29
Last Update Date
2020-05-05
Business Address
JEANNE LYNN PETERSON P.A.-C
201 S 4TH AVE INTAKE PROVIDER
PHOENIX, AZ 85003-2138
Phone number: 602-876-9124
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Mailing Address
JEANNE LYNN PETERSON P.A.-C
201 S 4TH AVE
PHOENIX, AZ 85003-2138
Phone number: 602-876-9124
Copy
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