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1891049177
ADAM GREGORY PETERSON
ROCHESTER, MN
NPI
1891049177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303436)
Enumeration Date
2012-11-07
Last Update Date
2012-11-07
Business Address
-- ADAM GREGORY PETERSON LADC
343 WOODLAKE DR SE
ROCHESTER, MN 55904-6242
Phone number: 507-281-6248
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Mailing Address
-- ADAM GREGORY PETERSON LADC
4573 RUBY LN NW
ROCHESTER, MN 55901-6562
Phone number:
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