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1760771109
GARY MARK PETERSEN
LONG BEACH, CA
NPI
1760771109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 10906)
Enumeration Date
2011-04-06
Last Update Date
2011-04-06
Business Address
-- GARY MARK PETERSEN OTD, OTR/L
249 E OCEAN BLVD STE 440
LONG BEACH, CA 90802-4806
Phone number: 888-808-7838
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Mailing Address
-- GARY MARK PETERSEN OTD, OTR/L
249 E OCEAN BLVD STE 440
LONG BEACH, CA 90802-4806
Phone number: 888-808-7838
Copy
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