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1992424048
NICOLE PETERSON
MERRILLVILLE, IN
NPI
1992424048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: IN 10003571A)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
NICOLE PETERSON
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410-7319
Phone number: 219-736-2800
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Mailing Address
NICOLE PETERSON
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410-7319
Phone number: 219-736-2800
Copy
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