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1932364924
GARY LAVERN PETERSON
ERIE, PA
NPI
1932364924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS015170)
Enumeration Date
2008-07-19
Last Update Date
2023-05-31
Business Address
GARY LAVERN PETERSON DO
5637 PEACH ST
ERIE, PA 16509-2605
Phone number: 814-864-0690
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Mailing Address
GARY LAVERN PETERSON DO
1 LECOM PL
ERIE, PA 16505-2571
Phone number:
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