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1902194087
THEWANDA PETERSON
GASTONIA, NC
NPI
1902194087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 088356)
Enumeration Date
2011-07-11
Last Update Date
2020-10-27
Business Address
THEWANDA PETERSON CRNA
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-834-4113
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Mailing Address
THEWANDA PETERSON CRNA
1550 UNION RD STE B
GASTONIA, NC 28054-5522
Phone number: 704-864-8772
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