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1033281019
KELSEY CARL PETERSON
HUNTINGTON BEACH, CA
NPI
1033281019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA G17592)
Enumeration Date
2006-11-14
Last Update Date
2016-03-15
Business Address
Dr. KELSEY CARL PETERSON M.D.
17742 BEACH BLVD 245
HUNTINGTON BEACH, CA 92647-6818
Phone number: 714-329-0179
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Mailing Address
Dr. KELSEY CARL PETERSON M.D.
20462 KENWORTH CIR
HUNTINGTON BEACH, CA 92646-5446
Phone number: 714-329-0179
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