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1770606105
HEIDI JILL PETERSON
SPOKANE, WA
NPI
1770606105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160053808)
Enumeration Date
2007-04-09
Last Update Date
2009-11-12
Business Address
-- HEIDI JILL PETERSON ATC
505 E 3RD AVE
SPOKANE, WA 99202-1426
Phone number: 509-838-2531
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Mailing Address
-- HEIDI JILL PETERSON ATC
505 E. THIRD AVE.
SPOKANE, WA 99202-1334
Phone number: 509-838-2531
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