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1922571918
ANNA LEE PETERSON
TEMPLE, TX
NPI
1922571918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12523)
Enumeration Date
2019-01-02
Last Update Date
2022-03-10
Business Address
ANNA LEE PETERSON
2401 S 31ST ST
TEMPLE, TX 76508-3410
Phone number: 254-724-2111
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Mailing Address
ANNA LEE PETERSON
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-8800
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