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1023727468
CARLY LYNNE PETERSON
SPANISH FORK, UT
NPI
1023727468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 369185-4405)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
CARLY LYNNE PETERSON NP
1033 W 450 S
SPANISH FORK, UT 84660-5612
Phone number: 801-471-9201
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Mailing Address
CARLY LYNNE PETERSON NP
1033 W 450 S
SPANISH FORK, UT 84660-5612
Phone number:
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