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1508880642
JOHN CHARLES PETERSON
MUNCIE, IN
NPI
1508880642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 10027232)
Enumeration Date
2006-07-26
Last Update Date
2012-09-27
Business Address
-- JOHN CHARLES PETERSON M.D.
100 N TILLOTSON AVE
MUNCIE, IN 47304-3987
Phone number: 765-282-7475
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Mailing Address
-- JOHN CHARLES PETERSON M.D.
100 N TILLOTSON AVE
MUNCIE, IN 47304-3987
Phone number: 765-282-7475
Copy
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