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Individual

MYA LYN PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 NORTH SMITH AVE, SUITE 500, SAINT PAUL, MN 55102
(651) 726-6900
(651) 688-7570
Mailing address
6196 BIRCHWOOD ROAD, WOODBURY, MN 55125
(651) 493-3304

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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