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1720706724
MITCHELL WAYNE PETERSON
ALAMOSA, CO
NPI
1720706724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
MITCHELL WAYNE PETERSON
106 BLANCA AVE STE 300
ALAMOSA, CO 81101-2340
Phone number: 719-589-5149
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Mailing Address
MITCHELL WAYNE PETERSON
128 MARKET ST
ALAMOSA, CO 81101-2290
Phone number: 719-587-1161
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