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1508860487
JACK T PETERSON
TOPEKA, KS
NPI
1508860487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: KS 0422259)
Enumeration Date
2005-06-09
Last Update Date
2012-04-24
Business Address
Dr. JACK T PETERSON MD
631 SW HORNE ST STE 400
TOPEKA, KS 66606-1661
Phone number: 785-234-9000
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Mailing Address
Dr. JACK T PETERSON MD
631 SW HORNE ST STE 400
TOPEKA, KS 66606-1661
Phone number: 785-234-9000
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