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Individual
MRS. PETA-GAYE VERNON
Active
Individual
MRS. PETA-GAYE VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9545
CA
171000000X
Military Health Care Provider
9545
CA
207Q00000X
Family Medicine Physician
Primary
9545
CA
253Z00000X
In Home Supportive Care Agency
9545
CA
282NW0100X
Women's Hospital
9545
CA
363LA2100X
Acute Care Nurse Practitioner
9545
CA
363LW0102X
Women's Health Nurse Practitioner
9545
CA
390200000X
Student in an Organized Health Care Education/Training Program
9545
CA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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