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1083024541
LAURA PETERSON
FORT COLLINS, CO
NPI
1083024541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 000905893)
Enumeration Date
2014-05-05
Last Update Date
2014-05-05
Business Address
-- LAURA PETERSON
373 W DRAKE RD
FORT COLLINS, CO 80526-2881
Phone number: 970-223-1166
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Mailing Address
-- LAURA PETERSON
373 W DRAKE RD
FORT COLLINS, CO 80526-2881
Phone number: 970-223-1166
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