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1376020040
BOBBI JO PETERSON
MILLER, SD
NPI
1376020040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 0137)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
BOBBI JO PETERSON PTA
300 W 5TH ST
MILLER, SD 57362-1238
Phone number: 605-853-2421
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Mailing Address
BOBBI JO PETERSON PTA
300 W 5TH ST
MILLER, SD 57362-1238
Phone number: 605-853-2421
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