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Individual
QUINTON JARRETT PETERS
Active
Individual
QUINTON JARRETT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, EMT-B
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
70107210
WI
2255A2300X
Athletic Trainer
Primary
2261-39
WI
Other
Enumeration date
09/11/2018
Last updated
06/01/2023
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