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1821555855
MEGAN PETERSEN
PELLA, IA
NPI
1821555855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 096731)
Enumeration Date
2019-02-26
Last Update Date
2019-08-08
Business Address
MEGAN PETERSEN LAT, ATC
500 JEFFERSON ST
PELLA, IA 50219-1255
Phone number: 641-628-6623
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Mailing Address
MEGAN PETERSEN LAT, ATC
808 LIBERTY ST APT 203
PELLA, IA 50219-1756
Phone number: 515-339-5604
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