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1043569858
BALEY PETERSEN
MOUNT PLEASANT, SC
NPI
1043569858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1741)
Enumeration Date
2012-09-07
Last Update Date
2013-08-07
Business Address
Dr. BALEY PETERSEN O.D.
966 HOUSTON NORTHCUTT BLVD SUITE D
MOUNT PLEASANT, SC 29464-3487
Phone number: 843-881-2492
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Mailing Address
Dr. BALEY PETERSEN O.D.
1481 CENTER STREET EXT APT 1001
MOUNT PLEASANT, SC 29464-4674
Phone number: 712-229-1508
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