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Individual

PEGGY S PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
323 SOUTH MAIN STREET, TALLMADGE, OH 44278-4427
(234) 571-5876
Mailing address
190 FOX RIDGE WAY, TALLMADGE, OH 44278-3918
(234) 571-5876

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
7718827
OH

Other

Enumeration date
11/03/2020
Last updated
11/03/2020
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