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1679635056
VENN R PETERSON
LACEY, WA
NPI
1679635056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WA 8985)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
VENN R PETERSON D.D.S.
5024 LACEY BLVD SE
LACEY, WA 98503-5729
Phone number: 360-459-4420
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Mailing Address
VENN R PETERSON D.D.S.
5024 LACEY BLVD SE
LACEY, WA 98503-5729
Phone number: 360-459-4420
Copy
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