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1043705247
ALBERT PETERSON
LIMA, OH
NPI
1043705247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-29
Last Update Date
2018-06-29
Business Address
ALBERT PETERSON
311 E MARKET ST
LIMA, OH 45801-4535
Phone number: 419-222-4744
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Mailing Address
ALBERT PETERSON
1409 CEDAR ST
LIMA, OH 45804-2537
Phone number: 567-289-0055
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