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1629549654
PETER TIMMERMAN
SANTA ROSA, CA
NPI
1629549654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA56382)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
PETER TIMMERMAN
1506 4TH ST
SANTA ROSA, CA 95404-4018
Phone number: 707-527-1315
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Mailing Address
PETER TIMMERMAN
101 NAUTICAL CT
VALLEJO, CA 94591-7542
Phone number: 715-529-2674
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