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Individual
MS. JULIE ANNE PETERSON
Active
Individual
MS. JULIE ANNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
465848
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
465848
NY
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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