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Individual
MR. LATRELL RASHOD PETERSON SR.
Active
Individual
MR. LATRELL RASHOD PETERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
VC597561
OH
3747P1801X
Personal Care Attendant
VC597561
OH
376J00000X
Homemaker
VC597561
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
VC597561
OH
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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