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1164069696
MARK ALAN PETERSON
JOHNSTON, IA
NPI
1164069696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2019-12-03
Last Update Date
2019-12-03
Business Address
MARK ALAN PETERSON EDS
5870 NW 54TH CT
JOHNSTON, IA 50131-1418
Phone number: 515-462-4367
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Mailing Address
MARK ALAN PETERSON EDS
5870 NW 54TH CT
JOHNSTON, IA 50131-1418
Phone number: 515-462-4367
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