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1922068147
CHRISTOPHER PETERSON
N CHARLESTON, SC
NPI
1922068147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- CHRISTOPHER PETERSON
3600 RIVERS AVE
N CHARLESTON, SC 29405-7747
Phone number: 843-574-8242
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Mailing Address
-- CHRISTOPHER PETERSON
101 PLUME POPPY CT
LADSON, SC 29456-3894
Phone number:
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