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1518006444
BREK LAMONT PETERSON
PRESCOTT, AZ
NPI
1518006444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 5079)
Enumeration Date
2007-02-06
Last Update Date
2007-07-09
Business Address
Mr. BREK LAMONT PETERSON P.T.
1320 W IRON SPRINGS RD
PRESCOTT, AZ 86305-1414
Phone number: 928-771-2977
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Mailing Address
Mr. BREK LAMONT PETERSON P.T.
1320 W IRON SPRINGS RD
PRESCOTT, AZ 86305-1414
Phone number: 928-771-2977
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