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Individual

MS. REBECCA MARIE PETERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
7550 FRANCE AVE S STE 240, EDINA, MN 55435-4821
(952) 830-8017
Mailing address
2650 PILGRIM LN N, PLYMOUTH, MN 55441-3256
19528308017

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1856

Other

Enumeration date
09/05/2017
Last updated
09/05/2017
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