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1467502997
MICHAEL PETERSON
LONGMONT, CO
NPI
1467502997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 6283)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL PETERSON MSPT
1310 BAKER ST
LONGMONT, CO 80501
Phone number: 303-772-2255
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Mailing Address
Mr. MICHAEL PETERSON MSPT
1310 BAKER ST
LONGMONT, CO 80501
Phone number: 303-772-2255
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