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1437289824
ELLEN PETERSON
URBANDALE, IA
NPI
1437289824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 16769)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- ELLEN PETERSON RPh
2809 100TH ST
URBANDALE, IA 50322-3860
Phone number: 515-252-7688
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Mailing Address
-- ELLEN PETERSON RPh
1609 W PRAIRIE WOOD CT
POLK CITY, IA 50226-1164
Phone number: 515-984-9267
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