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1992204044
JOHN PETERSON
LAFAYETTE, IN
NPI
1992204044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-05
Last Update Date
2018-02-05
Business Address
Mr. JOHN PETERSON
610 MAIN ST
LAFAYETTE, IN 47901-1451
Phone number: 765-423-2638
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Mailing Address
Mr. JOHN PETERSON
610 MAIN ST
LAFAYETTE, IN 47901-1451
Phone number:
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