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1528020955
MICHAEL S PETERSON
SALT LAKE CITY, UT
NPI
1528020955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP100079)
Enumeration Date
2006-04-03
Last Update Date
2014-07-07
Business Address
MICHAEL S PETERSON O.D.
1553 E 3080 S
SALT LAKE CITY, UT 84106-3419
Phone number: 801-879-8721
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Mailing Address
MICHAEL S PETERSON O.D.
177 W 12300 S STE 111
DRAPER, UT 84020-9816
Phone number: 801-679-9177
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