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1861577165
ROSS D PETERSON
PARK RIDGE, IL
NPI
1861577165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180000786)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Mr. ROSS D PETERSON
1610 LUTHER LN
PARK RIDGE, IL 60068-1243
Phone number: 847-795-3166
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Mailing Address
Mr. ROSS D PETERSON
1724 BONITA AVE
MOUNT PROSPECT, IL 60056-2810
Phone number: 847-437-1357
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