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1194755405
TRACI A. PETERSON
PUEBLO, CO
NPI
1194755405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
-- TRACI A. PETERSON
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4811
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Mailing Address
-- TRACI A. PETERSON
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4811
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