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Organization
CHRISTOPHER PETERSON
Active
Organization
CHRISTOPHER PETERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TYRONE PETERSON (STNA)
(216) 640-1898
Entity
Organization
Contact information
Practice address
10618 WOODLAND AVE APT A, CLEVELAND, OH 44104-2436
(216) 640-1898
Mailing address
10618 WOODLAND AVE, CLEVELAND, OH 44104-2436
(216) 640-1898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
400516640605
OH
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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