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1174143168
HALLE PETERSON
JACKSONVILLE, FL
NPI
1174143168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SZ9074)
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
HALLE PETERSON
8700 A C SKINNER PKWY
JACKSONVILLE, FL 32256-0836
Phone number: 904-642-7300
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Mailing Address
HALLE PETERSON
303 OLEANDER ST
NEPTUNE BEACH, FL 32266-4851
Phone number: 616-826-4383
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