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1003942335
DOUGLAS A PETERSEN
NEPHI, UT
NPI
1003942335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 5130379-9922)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS A PETERSEN D.M.D.
310 N 400 E
NEPHI, UT 84648-1558
Phone number: 435-623-1918
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Mailing Address
Dr. DOUGLAS A PETERSEN D.M.D.
310 N 400 E
NEPHI, UT 84648-1558
Phone number: 435-623-1918
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