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1477607083
MATTHEW D. PETERSEN
OMAHA, NE
NPI
1477607083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other Surgical Technologist
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
MR. MATTHEW D. PETERSEN S.T.
11704 W CENTER RD STE 200
OMAHA, NE 68144-4327
Phone number: 402-691-0500
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Mailing Address
MR. MATTHEW D. PETERSEN S.T.
20 ELMWOOD DR
COUNCIL BLUFFS, IA 51503-1623
Phone number: 712-256-7953
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