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1760914956
MIKE PETERSON
BREMERTON, WA
NPI
1760914956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: WA CG 60144492)
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
-- MIKE PETERSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
-- MIKE PETERSON
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number:
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