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1861747602
PETERSON GERMAIN
BRONX, NY
NPI
1861747602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 654492)
Enumeration Date
2012-07-18
Last Update Date
2012-07-18
Business Address
-- PETERSON GERMAIN RN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
-- PETERSON GERMAIN RN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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