JASON PETERSEN

SANDPOINT, ID
NPI1407235948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100336)
Enumeration Date2015-05-28
Last Update Date2020-05-06
Business Address
JASON PETERSEN O.D.
307 S 1ST AVE
SANDPOINT, ID 83864-1201
Phone number: 208-263-8501
Mailing Address
JASON PETERSEN O.D.
307 S 1ST AVE
SANDPOINT, ID 83864-1201
Phone number: 208-263-8501
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