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1992041719
JEFFERY ALLEN PETERSON
SAN DIEGO, CA
NPI
1992041719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 799556)
Enumeration Date
2012-12-26
Last Update Date
2012-12-26
Business Address
Mr. JEFFERY ALLEN PETERSON CRNA
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-248-9666
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Mailing Address
Mr. JEFFERY ALLEN PETERSON CRNA
4428 TOPA TOPA DR
LA MESA, CA 91941-7160
Phone number: 619-248-9666
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