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1194374165
JEANICE PETERSON
LANCASTER, CA
NPI
1194374165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 3666)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
JEANICE PETERSON LEP
41914 50TH ST W
LANCASTER, CA 93536-2963
Phone number: 661-722-0716
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Mailing Address
JEANICE PETERSON LEP
41914 50TH ST W
LANCASTER, CA 93536-2963
Phone number: 661-722-0716
Copy
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