Individual
MRS. BOBBI PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 NORTON RD, GROVE CITY, OH 43123-8955
(614) 877-1631
Mailing address
5411 NORTON RD, GROVE CITY, OH 43123-8955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN098489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125266
—
OH
Enumeration date
02/05/2007
Last updated
07/09/2007
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