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Individual
PETER JOSEPH NINNEMAN III
Active
Individual
PETER JOSEPH NINNEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2014009981
MO
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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