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1245337104
WARREN HOWARD PETERSON
INDIANOLA, IA
NPI
1245337104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 01825)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
WARREN HOWARD PETERSON O.D.
123 W SALEM AVE
INDIANOLA, IA 50125-2518
Phone number: 515-961-2809
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Mailing Address
WARREN HOWARD PETERSON O.D.
123 W SALEM AVE
INDIANOLA, IA 50125-2518
Phone number: 515-961-2809
Copy
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