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1164493631
RICHARD T PEDERSEN
COLORADO SPRINGS, CO
NPI
1164493631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CO 860)
Enumeration Date
2006-01-31
Last Update Date
2008-05-02
Business Address
RICHARD T PEDERSEN OD
1625 E PLATTE AVE
COLORADO SPRINGS, CO 80909-5620
Phone number: 719-634-4327
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Mailing Address
RICHARD T PEDERSEN OD
1625 E PLATTE AVE
COLORADO SPRINGS, CO 80909-5620
Phone number: 719-634-4327
Copy
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