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1962491621
JEFFERY J PETERSON
TAMPA, FL
NPI
1962491621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: AL 1307)
Enumeration Date
2005-10-17
Last Update Date
2007-08-30
Business Address
Dr. JEFFERY J PETERSON Ph.D.
11707 CLUB DR TAMPA MHBS CLINIC / OPC
TAMPA, FL 33612-5521
Phone number: 813-631-7121
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Mailing Address
Dr. JEFFERY J PETERSON Ph.D.
11707 CLUB DR TAMPA MHBS CLINIC / OPC
TAMPA, FL 33612-5521
Phone number: 813-631-7121
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