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1720484884
KRISTINE ELIZABETH PETERMAN
ROSEBURG, OR
NPI
1720484884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-11-17
Last Update Date
2016-01-22
Business Address
-- KRISTINE ELIZABETH PETERMAN
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
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Mailing Address
-- KRISTINE ELIZABETH PETERMAN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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