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1285965293
TRACI LYNN PETERSON
LAYTON, UT
NPI
1285965293
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Former Name
TRACI LYNN OSTLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 5696047-4405)
Enumeration Date
2010-01-15
Last Update Date
2011-07-07
Business Address
Mrs. TRACI LYNN PETERSON FNP-BC
3225 W GORDON AVE #1
LAYTON, UT 84041-6508
Phone number: 801-773-7232
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Mailing Address
Mrs. TRACI LYNN PETERSON FNP-BC
3225 W GORDON AVE #1
LAYTON, UT 84041-6508
Phone number: 801-773-7232
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