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1306948401
PETER G LEVINE
LONGMONT, CO
NPI
1306948401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO CO2011)
Enumeration Date
2006-09-01
Last Update Date
2007-11-06
Business Address
-- PETER G LEVINE PhD
709 KIMBARK ST
LONGMONT, CO 80501
Phone number: 303-678-7455
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Mailing Address
-- PETER G LEVINE PhD
709 KIMBARK ST
LONGMONT, CO 80501
Phone number: 303-678-7455
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