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1396159521
MACK ANDELIN PETERSON
JBSA LACKLAND, TX
NPI
1396159521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 1535)
Enumeration Date
2014-06-16
Last Update Date
2024-07-08
Business Address
Dr. MACK ANDELIN PETERSON D.O.
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 315-630-4060
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Mailing Address
Dr. MACK ANDELIN PETERSON D.O.
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number:
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