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1700492162
ANTHONY DAVID PETERSON
PARK RAPIDS, MN
NPI
1700492162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 11685)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
ANTHONY DAVID PETERSON DPT
619 6TH ST W
PARK RAPIDS, MN 56470-1301
Phone number: 651-528-2766
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Mailing Address
ANTHONY DAVID PETERSON DPT
9203 RASPBERRY CT NE
BEMIDJI, MN 56601-7853
Phone number: 651-528-2766
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