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Individual

WANDA H PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
14623 S HAGAN ST, OLATHE, KS 66062-9005
(913) 707-9529
(913) 829-3884
Mailing address
14623 S HAGAN ST, OLATHE, KS 66062-9005
(913) 707-9529
(913) 829-3884

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
13-64585-041
KS

Other

Enumeration date
06/18/2008
Last updated
06/18/2008
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