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1114951746
CHAD D PETERSON
CEDAR RAPIDS, IA
NPI
1114951746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: IA 02103)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
Dr. CHAD D PETERSON O.D.
BLAIRS FERRY RD. NE
CEDAR RAPIDS, IA 52402
Phone number: 319-310-3310
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Mailing Address
Dr. CHAD D PETERSON O.D.
4606 CHESTNUT RIDGE CT NE
CEDAR RAPIDS, IA 52411-7613
Phone number: 319-393-3310
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