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1013943828
LEON C PETERSON
IDAHO FALLS, ID
NPI
1013943828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP535)
Enumeration Date
2006-06-23
Last Update Date
2014-03-13
Business Address
Dr. LEON C PETERSON O.D.
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-522-6271
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Mailing Address
Dr. LEON C PETERSON O.D.
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-522-6271
Copy
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