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1407013428
JOSIAH PAUL PETERSON
FOUNTAIN VALLEY, CA
NPI
1407013428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
-- JOSIAH PAUL PETERSON
16490 HARBOR BLVD STE B
FOUNTAIN VALLEY, CA 92708-1391
Phone number: 714-369-3429
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Mailing Address
-- JOSIAH PAUL PETERSON
6022 CHARLWOOD ST
LAKEWOOD, CA 90713-1221
Phone number:
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