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1811440274
JACOB PETERSEN
PINOLE, CA
NPI
1811440274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 291765)
Enumeration Date
2016-08-02
Last Update Date
2016-08-02
Business Address
Dr. JACOB PETERSEN DPT
2160 APPIAN WAY SUITE 101
PINOLE, CA 94564-2576
Phone number: 510-724-1248
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Mailing Address
Dr. JACOB PETERSEN DPT
8874 WOODMAYR CIR
NORWALK, IA 50211-1842
Phone number:
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