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Individual

DENISE LYNN PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRM

Contact information

Practice address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 801-4113
Mailing address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 801-4113

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OR

Other

Enumeration date
12/05/2022
Last updated
12/05/2022
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