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1558112326
ETHAN E PETERSON
KANSAS CITY, MO
NPI
1558112326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: MO 2024003248)
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
ETHAN E PETERSON DC
4049 PENNSYLVANIA AVE STE 100
KANSAS CITY, MO 64111-3022
Phone number: 816-301-4355
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Mailing Address
ETHAN E PETERSON DC
1521 E 50TH ST
KANSAS CITY, MO 64110-2343
Phone number: 785-979-0690
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