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1962798538
NICOLE MICHELLE PETERSEN
SAN DIEGO, CA
NPI
1962798538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN196926)
Enumeration Date
2011-06-22
Last Update Date
2015-08-13
Business Address
-- NICOLE MICHELLE PETERSEN
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-575-4687
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Mailing Address
-- NICOLE MICHELLE PETERSEN
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-575-4687
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