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1922478700
KOTRINA PETERSON
GRAND BLANC, MI
NPI
1922478700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
-- KOTRINA PETERSON
6159 SOMERSET CT
GRAND BLANC, MI 48439-7447
Phone number: 678-516-2295
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Mailing Address
-- KOTRINA PETERSON
6159 SOMERSET CT
GRAND BLANC, MI 48439-7447
Phone number: 678-516-2295
Copy
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