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1073098307
MARTIN PETERSON
FRENCH CAMP, CA
NPI
1073098307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
Mr. MARTIN PETERSON
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6857
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Mailing Address
Mr. MARTIN PETERSON
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6857
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