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Individual
ERIC JOHN PELTZ
Active
Individual
ERIC JOHN PELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
1103722
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103722
MN ADULT FOSTER CARE LICENSE
MN
01
—
1104550
MN DHS 245D LICENSE - ADULT FOSTER CARE LICENSE
MN
Enumeration date
06/10/2020
Last updated
06/10/2020
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