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Organization
GRETI I PETERSEN INC
Active
Organization
GRETI I PETERSEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HAMM (OFFICE MANAGER)
(661) 872-3311
Entity
Organization
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 872-3311
(661) 872-3366
Mailing address
PO BOX 6309, BAKERSFIELD, CA 93386-6309
(661) 872-3311
(661) 872-3366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A93553
CA
Other
Enumeration date
05/27/2010
Last updated
07/23/2010
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