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1609325950
DANIEL JOHN PETERSON
OLIVET, MI
NPI
1609325950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001177)
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
-- DANIEL JOHN PETERSON MBA, AT, ATC
320 S MAIN ST
OLIVET, MI 49076-9406
Phone number: 269-749-4169
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Mailing Address
-- DANIEL JOHN PETERSON MBA, AT, ATC
320 S MAIN ST
OLIVET, MI 49076-9406
Phone number: 269-749-4169
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