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1447466347
KENT H PETERSEN
LOGAN, UT
NPI
1447466347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 4771034-1701)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. KENT H PETERSEN pharm.D.
1550 N MAIN ST
LOGAN, UT 84341-1918
Phone number: 435-753-0990
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Mailing Address
Dr. KENT H PETERSEN pharm.D.
94 N 100 W
BRIGHAM CITY, UT 84302-2104
Phone number: 801-390-7254
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