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1154082519
MICHAEL PAUL PETERSON
LAS VEGAS, NV
NPI
1154082519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2022-01-06
Last Update Date
2022-01-06
Business Address
MICHAEL PAUL PETERSON BS
7455 W WASHINGTON AVE STE 302
LAS VEGAS, NV 89128-4340
Phone number: 855-864-4322
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Mailing Address
MICHAEL PAUL PETERSON BS
4440 S ATHERTON DR APT 24
TAYLORSVILLE, UT 84123-2578
Phone number: 801-875-8185
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