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Individual
MASON ANDREW PETERSON
Active
Individual
MASON ANDREW PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
146775
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/31/2024
Last updated
09/03/2024
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