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1366498263
ANTJE PETERSEN
CHULA VISTA, CA
NPI
1366498263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA MFC42087)
Enumeration Date
2006-05-25
Last Update Date
2007-07-08
Business Address
-- ANTJE PETERSEN MFT
450 FOURTH AVENUE STE 215
CHULA VISTA, CA 91910-4428
Phone number: 619-498-5454
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Mailing Address
-- ANTJE PETERSEN MFT
PO BOX 609001
SAN DIEGO, CA 92160-9001
Phone number: 619-528-4600
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