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1891755823
THOMAS MICHAEL PETERSON
FARGO, ND
NPI
1891755823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ND 01884)
Enumeration Date
2006-03-24
Last Update Date
2014-08-15
Business Address
-- THOMAS MICHAEL PETERSON ATC
3537 10TH ST S
FARGO, ND 58104-6201
Phone number: 701-261-1145
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Mailing Address
-- THOMAS MICHAEL PETERSON ATC
3537 10TH ST S
FARGO, ND 58104-6201
Phone number:
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