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1417485590
ANGELINE M PETERSEN
MERIDIAN, ID
NPI
1417485590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT3198)
Enumeration Date
2017-06-01
Last Update Date
2018-07-25
Business Address
ANGELINE M PETERSEN DPT
1588 W CAYUSE CREEK DR STE 110
MERIDIAN, ID 83646-4795
Phone number: 208-515-7575
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Mailing Address
ANGELINE M PETERSEN DPT
1588 W CAYUSE CREEK DR STE 110
MERIDIAN, ID 83646-4795
Phone number: 208-515-7575
Copy
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