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1316162647
KENT LEE PETERSON
PRESCOTT, AZ
NPI
1316162647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: AZ 0261)
Enumeration Date
2007-04-13
Last Update Date
2017-04-07
Business Address
-- KENT LEE PETERSON D.P.M.
919 12TH PL SUITE 10
PRESCOTT, AZ 86305-1433
Phone number: 928-776-0770
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Mailing Address
-- KENT LEE PETERSON D.P.M.
1206 ROLLING HILLS CIR
PRESCOTT, AZ 86303-6485
Phone number: 928-710-0770
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