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1063458636
CARL EDWIN PETERS
SIOUX CITY, IA
NPI
1063458636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001490)
Enumeration Date
2006-06-21
Last Update Date
2007-07-08
Business Address
Mr. CARL EDWIN PETERS PA
1551 INDIAN HILLS DR
SIOUX CITY, IA 51104-1859
Phone number: 712-258-4700
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Mailing Address
Mr. CARL EDWIN PETERS PA
1551 INDIAN HILLS DR
SIOUX CITY, IA 51104-1857
Phone number: 712-258-4700
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