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Individual

ANGELA LP PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
188 ALTMAN CT, WEST SAINT PAUL, MN 55118-2501
(612) 419-1121
Mailing address
188 ALTMAN CT, WEST SAINT PAUL, MN 55118-2501
(612) 419-1121

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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