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1184724866
RANDAL J. PETERSON
SPRINGFIELD, IL
NPI
1184724866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IL 036-080194)
Enumeration Date
2006-09-23
Last Update Date
2020-09-21
Business Address
Dr. RANDAL J. PETERSON M.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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Mailing Address
Dr. RANDAL J. PETERSON M.D.
1200 CENTRE WEST DR
SPRINGFIELD, IL 62704-2173
Phone number: 217-528-7541
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