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1013391168
IVAN PETERSON
HAMILTON, MT
NPI
1013391168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT PTP-PT-LIC-9294)
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
Mr. IVAN PETERSON DPT
336 FAIRGROUNDS RD
HAMILTON, MT 59840-3126
Phone number: 406-375-0980
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Mailing Address
Mr. IVAN PETERSON DPT
336 FAIRGROUNDS RD
HAMILTON, MT 59840-3126
Phone number: 406-375-0980
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