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1194845370
DIANE M PETERSON
MOORHEAD, MN
NPI
1194845370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 10002592)
Enumeration Date
2007-03-30
Last Update Date
2026-05-05
Business Address
DIANE M PETERSON
1313 30TH AVE S
MOORHEAD, MN 56560-5106
Phone number: 218-284-3713
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Mailing Address
DIANE M PETERSON
1313 30TH AVE S
MOORHEAD, MN 56560-5106
Phone number: 218-284-3713
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