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1417335118
PETER ANDERSON
VICKSBURG, MS
NPI
1417335118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- PETER ANDERSON
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
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Mailing Address
-- PETER ANDERSON
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number:
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