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1881167633
JAMES TIMOTHY PETERSON
PHILADELPHIA, PA
NPI
1881167633
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Other Name
JAMIE PETERSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: PA 000488)
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
Mr. JAMES TIMOTHY PETERSON MS, LCGC
3615 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4318
Phone number: 267-426-4961
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Mailing Address
Mr. JAMES TIMOTHY PETERSON MS, LCGC
MITOCHONDRIAL MEDICINE FRONTIER PROGRAM- 10TH FLOOR ARC 3615 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Phone number:
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