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1528089224
MARK PETERSON
PROVO, UT
NPI
1528089224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 344238-2401)
Enumeration Date
2006-07-21
Last Update Date
2010-07-27
Business Address
-- MARK PETERSON DPT
3303 N UNIVERSITY AVE
PROVO, UT 84604-4438
Phone number: 801-373-7438
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Mailing Address
-- MARK PETERSON DPT
3303 NORTH UNIVERSITY AVENUE
PROVO, UT 84604
Phone number: 801-373-7438
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