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1053871491
STEVEN PERETIATKO
MODESTO, CA
NPI
1053871491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A190660)
Enumeration Date
2019-03-21
Last Update Date
2024-11-15
Business Address
Dr. STEVEN PERETIATKO MD
1303 MABLE AVE
MODESTO, CA 95355-1119
Phone number: 209-857-3400
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Mailing Address
Dr. STEVEN PERETIATKO MD
PO BOX 872
AGOURA HILLS, CA 91376-0872
Phone number: 818-518-7226
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