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1790731685
CHARLES D PETERSON
KETTERING, OH
NPI
1790731685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH 35053561)
Enumeration Date
2006-05-25
Last Update Date
2011-08-18
Business Address
-- CHARLES D PETERSON MD
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-296-7211
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Mailing Address
-- CHARLES D PETERSON MD
PO BOX 292796
KETTERING, OH 45429-8796
Phone number: 614-430-5726
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