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1265723092
LEWIS DALE PETERSON
SAN LUIS OBISPO, CA
NPI
1265723092
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Other Name
SCOTT PETERSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 64563)
Enumeration Date
2011-04-27
Last Update Date
2011-04-27
Business Address
MR. LEWIS DALE PETERSON
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4286
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Mailing Address
MR. LEWIS DALE PETERSON
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number:
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