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1477268241
RYAN PETERSON
DELTA, UT
NPI
1477268241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
RYAN PETERSON
51 N CENTER ST
DELTA, UT 84624-8430
Phone number: 435-864-3073
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Mailing Address
RYAN PETERSON
152 N 400 W
EPHRAIM, UT 84627-5549
Phone number:
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