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Individual
MR. GEORGE MALAKYE PETERSON
Active
Individual
MR. GEORGE MALAKYE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126545
TX
Other
Enumeration date
10/10/2014
Last updated
01/18/2018
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