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1730169962
JEFFRY RAYMOND PETERSON
SPENCER, IA
NPI
1730169962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 01768)
Enumeration Date
2006-01-23
Last Update Date
2014-02-10
Business Address
Dr. JEFFRY RAYMOND PETERSON D.O.
116 E 11TH ST SUITE 101
SPENCER, IA 51301-4364
Phone number: 712-264-3500
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Mailing Address
Dr. JEFFRY RAYMOND PETERSON D.O.
116 E 11TH ST SUITE 101
SPENCER, IA 51301-4364
Phone number: 712-264-3500
Copy
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