KELLIE MARIA PETERSEN

SALT LAKE CITY, UT
NPI1124742366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
KELLIE MARIA PETERSEN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
Mailing Address
KELLIE MARIA PETERSEN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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