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1326190521
RICHARD LEWIS PETERSON
ATASCADERO, CA
NPI
1326190521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A76383)
Enumeration Date
2007-01-17
Last Update Date
2020-08-13
Business Address
RICHARD LEWIS PETERSON
10333 EL CAMINO REAL
ATASCADERO, CA 93422-5808
Phone number: 805-468-2188
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Mailing Address
RICHARD LEWIS PETERSON
10333 EL CAMINO REAL
ATASCADERO, CA 93422-5808
Phone number:
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