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1356535694
BRENT E. PETERSON
LOGAN, UT
NPI
1356535694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: UT 4827300-0151)
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
Dr. BRENT E. PETERSON D.C.
1415 N 400 E SUITE C
LOGAN, UT 84341-7539
Phone number: 435-787-1787
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Mailing Address
Dr. BRENT E. PETERSON D.C.
1415 N 400 E SUITE C
LOGAN, UT 84341-7539
Phone number: 435-787-1787
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