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1225433956
LORI PETERSEN
COEUR D ALENE, ID
NPI
1225433956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- LORI PETERSEN
518 S 13TH ST
COEUR D ALENE, ID 83814-3919
Phone number: 509-953-1000
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Mailing Address
-- LORI PETERSEN
PO BOX 2145
SPOKANE, WA 99210-2145
Phone number: 509-953-1000
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