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1972938009
DOMINIC PETERSON
TUSCALOOSA, AL
NPI
1972938009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
226300000X Kinesiotherapist
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
Mr. DOMINIC PETERSON RKT
3701 LOOP RD TUSCALOOSA VAMC
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2822
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Mailing Address
Mr. DOMINIC PETERSON RKT
3701 LOOP RD TUSCALOOSA VAMC
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2822
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