MARC G PETERSEN

FEDERAL WAY, WA
NPI1700082831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA00023248)
Enumeration Date2007-06-25
Last Update Date2007-07-08
Business Address
MARC G PETERSEN LMP
900 S 336TH ST
FEDERAL WAY, WA 98003-6311
Phone number: 253-942-3303
Mailing Address
MARC G PETERSEN LMP
900 S 336TH ST
FEDERAL WAY, WA 98003-6311
Phone number: 253-942-3303
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