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1376744433
DARLENE L PETERSEN
ROY, UT
NPI
1376744433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 292621-1205)
Enumeration Date
2007-05-29
Last Update Date
2023-11-15
Business Address
DARLENE L PETERSEN M.D.
5640 S 3500 W
ROY, UT 84067-9158
Phone number: 801-773-2838
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Mailing Address
DARLENE L PETERSEN M.D.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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