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1093710188
STEPHEN PETERS
PROVO, UT
NPI
1093710188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: IA 001250)
Enumeration Date
2005-06-16
Last Update Date
2013-12-06
Business Address
Dr. STEPHEN PETERS PsyD
1157 N 300 W
PROVO, UT 84604-6124
Phone number: 801-357-1200
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Mailing Address
Dr. STEPHEN PETERS PsyD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-1200
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