DEVIN FAYE PETERSEN

SLC, UT
NPI1154878692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  in process)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- DEVIN FAYE PETERSEN
2995 E MIDDLETON WAY
SLC, UT 84124-3055
Phone number: 801-597-6419
Mailing Address
-- DEVIN FAYE PETERSEN
2995 E MIDDLETON WAY
SLC, UT 84124-3055
Phone number: 801-597-6419
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