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1982376273
DONALD BRENT PETERSEN
FAIRBANKS, AK
NPI
1982376273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
Dr. DONALD BRENT PETERSEN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-3621
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Mailing Address
Dr. DONALD BRENT PETERSEN
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number:
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