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1164411930
DAVID JAMES PETERSON
FAIRBANKS, AK
NPI
1164411930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2496)
Additional Taxonomies
152W00000X Optometrist
(Licence: AK 358)
Enumeration Date
2005-10-14
Last Update Date
2016-11-29
Business Address
Dr. DAVID JAMES PETERSON O.D.
116 MINNIE ST
FAIRBANKS, AK 99701-3006
Phone number: 907-456-7760
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Mailing Address
Dr. DAVID JAMES PETERSON O.D.
116 MINNIE ST
FAIRBANKS, AK 99701-3006
Phone number: 907-456-7760
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