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1194411355
DANIEL PETERSON
SALT LAKE CITY, UT
NPI
1194411355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 10366644-8900)
Enumeration Date
2023-04-12
Last Update Date
2023-11-28
Business Address
DANIEL PETERSON FNP-C
470 E 3900 S STE 200
SALT LAKE CITY, UT 84107-2332
Phone number: 801-747-2800
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Mailing Address
DANIEL PETERSON FNP-C
470 E 3900 S STE 200
SALT LAKE CITY, UT 84107-2332
Phone number: 801-747-2800
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