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Individual

MR. PETER JAMES JUERGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCLMT

Contact information

Practice address
295 ROCK CLIFF DR, MARTINSBURG, WV 25401-2835
(304) 671-1484
Mailing address
295 ROCK CLIFF DR, MARTINSBURG, WV 25401-2835
(304) 671-1484

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2003-1260
WV

Other

Enumeration date
05/31/2007
Last updated
03/19/2012
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