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1083025571
DENIECE P PETERSEN
BROKEN BOW, NE
NPI
1083025571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 2999)
Enumeration Date
2014-05-19
Last Update Date
2017-04-21
Business Address
-- DENIECE P PETERSEN DPT
325 S 1ST AVE
BROKEN BOW, NE 68822-0435
Phone number: 308-872-5111
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Mailing Address
-- DENIECE P PETERSEN DPT
325 S 1ST AVE P.O. BOX 435
BROKEN BOW, NE 68822-0435
Phone number: 308-872-5111
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