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1124650171
JORDAN PETERSON
EAU CLAIRE, WI
NPI
1124650171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
JORDAN PETERSON
509 UNIVERSITY DR
EAU CLAIRE, WI 54701
Phone number: 715-410-4077
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Mailing Address
JORDAN PETERSON
609 BROADWAY ST
EAU CLAIRE, WI 54703-5514
Phone number:
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