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1164963278
TRAVIS PETERSEN
GREENVILLE, NC
NPI
1164963278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: C52140)
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
TRAVIS PETERSEN BOCP, COA
835 JOHNS HOPKINS DR SUITE B
GREENVILLE, NC 27834-7268
Phone number: 252-752-7422
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Mailing Address
TRAVIS PETERSEN BOCP, COA
835 JOHNS HOPKINS DR SUITE B
GREENVILLE, NC 27834-7268
Phone number: 252-752-7422
Copy
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