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1528303641
RYAN LEE PETERSON
SAN DIEGO, CA
NPI
1528303641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 39649)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
Dr. RYAN LEE PETERSON DPT
8650 GENESEE AVE SUITE 314
SAN DIEGO, CA 92122-1134
Phone number: 858-622-9266
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Mailing Address
Dr. RYAN LEE PETERSON DPT
613 FERN GLN
LA JOLLA, CA 92037-5419
Phone number: 805-801-1869
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