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1982095097
ROSS PETERSEN
CORALVILLE, IA
NPI
1982095097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IA 076269)
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- ROSS PETERSEN PT
3290 RIDGEWAY DR STE 3
CORALVILLE, IA 52241-2023
Phone number: 319-665-2630
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Mailing Address
-- ROSS PETERSEN PT
3290 RIDGEWAY DR STE 3
CORALVILLE, IA 52241-2023
Phone number: 319-665-2630
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