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1497125835
SAMANTHA LEA PETERSON
IDA GROVE, IA
NPI
1497125835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 21459)
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
Dr. SAMANTHA LEA PETERSON Pharm.D.
401 2ND ST
IDA GROVE, IA 51445-1302
Phone number: 712-364-2120
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Mailing Address
Dr. SAMANTHA LEA PETERSON Pharm.D.
401 2ND ST
IDA GROVE, IA 51445-1302
Phone number: 712-364-2120
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