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1205971066
KEVIN PETERSEN
LAS VEGAS, NV
NPI
1205971066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NV 9665)
Enumeration Date
2007-02-20
Last Update Date
2007-07-09
Business Address
Dr. KEVIN PETERSEN MD
653 N TOWN CENTER DR
LAS VEGAS, NV 89144-0514
Phone number: 702-256-7616
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Mailing Address
Dr. KEVIN PETERSEN MD
653 N TOWN CENTER DR
LAS VEGAS, NV 89144-0514
Phone number: 702-256-7616
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