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Individual

MARK THOMAS PETERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7 ROCHESTER HILL RD, ROCHESTER, NH 03867-3212
(603) 335-2566
(603) 335-2566
Mailing address
7 ROCHESTER HILL RD, ROCHESTER, NH 03867-3212
(603) 335-2566
(603) 335-2566

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14302560584A
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30250639
NH
Enumeration date
11/15/2006
Last updated
07/08/2007
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