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1851328645
GLENN A. PETERSEN
ALBANY, OR
NPI
1851328645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD13466)
Enumeration Date
2006-06-27
Last Update Date
2020-11-03
Business Address
Dr. GLENN A. PETERSEN M.D.
1700 GEARY ST SE
ALBANY, OR 97322-6842
Phone number: 541-812-4550
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Mailing Address
Dr. GLENN A. PETERSEN M.D.
PO BOX 1188
CORVALLIS, OR 97339-1188
Phone number:
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