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1104373117
NATHANIEL L PETERSON
EDEN PRAIRIE, MN
NPI
1104373117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 10396)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- NATHANIEL L PETERSON DPT
12982 VALLEY VIEW RD
EDEN PRAIRIE, MN 55344-3657
Phone number: 952-944-2519
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Mailing Address
-- NATHANIEL L PETERSON DPT
4200 DAHLBERG DR SUITE 300
GOLDEN VALLEY, MN 55422-4840
Phone number: 952-512-5600
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