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1871036798
CHARLES CAPDEVILLE PETERSON
GLENDALE, CA
NPI
1871036798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A15085)
Enumeration Date
2016-11-25
Last Update Date
2021-01-26
Business Address
Dr. CHARLES CAPDEVILLE PETERSON D.O.
544 N GLENDALE AVE STE B
GLENDALE, CA 91206-3311
Phone number: 747-212-3441
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Mailing Address
Dr. CHARLES CAPDEVILLE PETERSON D.O.
2100 POWELL ST STE 400
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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