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1174668081
TIMOTH Y JOHN PETERSON
BRECKENRIDGE, MN
NPI
1174668081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282NC0060X General Acute Care Hospital, Critical Access
(Licence: MN 102006)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- TIMOTH Y JOHN PETERSON
ST. FRANCIS HEALTHCARE CAMPUS 2400 ST. FRANCIS DRIVE
BRECKENRIDGE, MN 56520
Phone number: 218-643-0345
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Mailing Address
-- TIMOTH Y JOHN PETERSON
213 E CECIL AVE
FERGUS FALLS, MN 56537-1416
Phone number: 218-736-3507
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