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1063695377
ANDREW PAUL PETERSON
MADISON, WI
NPI
1063695377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 9826-24)
Enumeration Date
2007-12-10
Last Update Date
2008-01-06
Business Address
-- ANDREW PAUL PETERSON
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- ANDREW PAUL PETERSON
2615 MEADOWVIEW DR
JANESVILLE, WI 53546-4380
Phone number: 608-563-1530
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