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1144287707
KENNETH P PETERSON
ENCINO, CA
NPI
1144287707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA C50553)
Enumeration Date
2006-04-27
Last Update Date
2014-04-01
Business Address
-- KENNETH P PETERSON MD
15910 VENTURA BLVD SUITE 1502
ENCINO, CA 91436-2802
Phone number: 818-728-9877
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Mailing Address
-- KENNETH P PETERSON MD
15910 VENTURA BLVD SUITE 1502
ENCINO, CA 91436-2802
Phone number: 818-728-9877
Copy
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