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Individual

MR. CHRISTOPHER LEE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
16267 JEFFERSON ST, OMAHA, NE 68135-6361
(402) 689-7463
Mailing address
16267 JEFFERSON ST, OMAHA, NE 68135-6361
(402) 689-7463

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
H12894671
NE

Other

Enumeration date
02/10/2025
Last updated
02/10/2025
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