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1992020945
ERIC PETERSEN
ANCHORAGE, AK
NPI
1992020945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AK 06430)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
ERIC PETERSEN
711 H ST STE 100
ANCHORAGE, AK 99501-3464
Phone number: 907-770-0862
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Mailing Address
ERIC PETERSEN
711 H ST STE 100
ANCHORAGE, AK 99501-3464
Phone number: 907-770-0862
Copy
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