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Individual

MR. JOSHUA PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
H.I.S.

Contact information

Practice address
5620 CRAWFORDSVILLE RD STE Q, SPEEDWAY, IN 46224-3726
(317) 388-8144
Mailing address
4500 HUGH HOWELL RD STE 340, TUCKER, GA 30084-4719
(770) 696-9239
(678) 691-2187

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000934
GA
237700000X
Hearing Instrument Specialist
17001427A
IN

Other

Enumeration date
11/12/2014
Last updated
08/19/2015
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