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Individual

MS. PENNY PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1975 MCPHERSON, STE 2, NORTH BEND, OR 97459
(541) 751-2535
Mailing address
1975 MCPHERSON ST STE 2, NORTH BEND, OR 97459-3482

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
11/09/2017
Last updated
11/09/2017
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