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1790032530
KYLE PETERSEN
HOLLYWOOD, FL
NPI
1790032530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS11815)
Enumeration Date
2012-08-10
Last Update Date
2020-01-23
Business Address
Dr. KYLE PETERSEN D.O.
3157 N UNIVERSITY DR STE 101
HOLLYWOOD, FL 33024-2258
Phone number: 754-206-8250
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Mailing Address
Dr. KYLE PETERSEN D.O.
3157 N UNIVERSITY DR STE 101
HOLLYWOOD, FL 33024-2258
Phone number: 754-206-8250
Copy
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