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1912950577
PETER JAMES BOARDMAN
SPOONER, WI
NPI
1912950577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: WI 40995020)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Dr. PETER JAMES BOARDMAN M.D.
707 ASH ST
SPOONER, WI 54801-1234
Phone number: 715-635-2170
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Mailing Address
Dr. PETER JAMES BOARDMAN M.D.
5418 POMPANO DR
MINNETONKA, MN 55343-9405
Phone number: 952-933-5858
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