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Individual

MANDY M PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-6799
(608) 741-3838
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1500
(608) 741-6799
(608) 741-3838

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10215-146
WI

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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