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Individual
DR. CHRIS JOHN PETERSON
Active
Individual
DR. CHRIS JOHN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00685600
NJ
111N00000X
Chiropractor
DC31216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00685600
STATE OF NJ LICENSE
NJ
01
—
DC31216
STATE LISENCE
CA
Enumeration date
03/25/2009
Last updated
10/20/2010
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