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Individual
WHITNEY AMBER PETERSEN
Active
Individual
WHITNEY AMBER PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.006427
IL
363A00000X
Physician Assistant
Primary
PA59770
CA
Other
Enumeration date
12/10/2017
Last updated
04/19/2022
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