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1093182552
MICHAEL PETERSEN
SAINT GEORGE, UT
NPI
1093182552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- MICHAEL PETERSEN
1067 E TABERNACLE ST SUITE 7
SAINT GEORGE, UT 84770-3163
Phone number: 801-255-5131
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Mailing Address
-- MICHAEL PETERSEN
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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