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1972884062
PAULA ANN PETERSEN
MAYWOOD, IL
NPI
1972884062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209008853)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
-- PAULA ANN PETERSEN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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Mailing Address
-- PAULA ANN PETERSEN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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