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1942089289
RICHARD CHARLES PETERSON
ASHLAND, OR
NPI
1942089289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 10010650)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
RICHARD CHARLES PETERSON
135 MAPLE ST
ASHLAND, OR 97520-1514
Phone number: 541-482-2341
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Mailing Address
RICHARD CHARLES PETERSON
1624 E MAIN ST
MEDFORD, OR 97504-7514
Phone number: 541-531-4178
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