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1588778740
MICHELLE PETERSEN
TEMPLE, TX
NPI
1588778740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
226300000X Kinesiotherapist
(Licence: IA 1522)
Enumeration Date
2006-08-17
Last Update Date
2007-07-09
Business Address
-- MICHELLE PETERSEN
1901 S 1ST ST
TEMPLE, TX 76504-7451
Phone number: 254-743-2176
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Mailing Address
-- MICHELLE PETERSEN
4701 STONEOAK DR
BELTON, TX 76513-7085
Phone number:
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