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1275759417
JAN LOUISE PETERSON
SANTA ROSA, CA
NPI
1275759417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 9314)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Ms. JAN LOUISE PETERSON pt
1400 N DUTTON AVE SUITE 1
SANTA ROSA, CA 95401-4657
Phone number: 707-523-2848
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Mailing Address
Ms. JAN LOUISE PETERSON pt
1400 N DUTTON AVE SUITE 1
SANTA ROSA, CA 95401-4643
Phone number: 707-523-2848
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