JON R PETERSEN

MCHENRY, IL
NPI1396937330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IL  227-000243)
Enumeration Date2007-08-14
Last Update Date2010-05-10
Business Address
Mr. JON R PETERSEN L.M.T.
1307 COURT ST
MCHENRY, IL 60050-4422
Phone number: 815-385-8190
Mailing Address
Mr. JON R PETERSEN L.M.T.
1307 COURT ST
MCHENRY, IL 60050-4422
Phone number: 815-385-8190
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