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1699755546
RICKY L PETERSON
WEST DES MOINES, IA
NPI
1699755546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 01473)
Enumeration Date
2006-01-18
Last Update Date
2008-06-04
Business Address
Mr. RICKY L PETERSON PT
1701 48TH STREET SUITE 120
WEST DES MOINES, IA 50266-6723
Phone number: 515-224-1474
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Mailing Address
Mr. RICKY L PETERSON PT
1701 48TH ST SUITE 120
WEST DES MOINES, IA 50266-6723
Phone number: 515-224-1474
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