ERIC PETERSEN

ANCHORAGE, AK
NPI1992020945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  06430)
Enumeration Date2010-04-01
Last Update Date2010-04-01
Business Address
-- ERIC PETERSEN
711 H ST STE 100
ANCHORAGE, AK 99501-3464
Phone number: 907-770-0862
Mailing Address
-- ERIC PETERSEN
711 H ST STE 100
ANCHORAGE, AK 99501-3464
Phone number: 907-770-0862
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