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1558615112
GERALD J PETERS
LANCASTER, CA
NPI
1558615112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-11-05
Last Update Date
2021-12-09
Business Address
GERALD J PETERS
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
GERALD J PETERS
916 N MOUNTAIN AVE STE A
UPLAND, CA 91786-3658
Phone number: 909-932-1069
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