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Individual

SARAH PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CONTACT REP.

Contact information

Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7216
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7216

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
09/02/2014
Last updated
09/02/2014
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