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1629147731
GARY PETERSON
OCEANSIDE, CA
NPI
1629147731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 16479)
Enumeration Date
2006-11-06
Last Update Date
2008-12-26
Business Address
-- GARY PETERSON PA
3629 VISTA WAY
OCEANSIDE, CA 92056-4522
Phone number: 760-828-9200
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Mailing Address
-- GARY PETERSON PA
3629 VISTA WAY
OCEANSIDE, CA 92056-4522
Phone number: 760-828-9200
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