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Individual
PAMELA PETERSON
Active
Individual
PAMELA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN00047360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9627845
—
WA
Enumeration date
08/14/2006
Last updated
07/08/2007
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