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1588095376
CHRISITNE PETERSON
PROVO, UT
NPI
1588095376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: UT 199990-4405)
Enumeration Date
2013-12-05
Last Update Date
2019-01-11
Business Address
CHRISITNE PETERSON NNP
1034 W 500 N
PROVO, UT 84601-2537
Phone number: 801-357-7707
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Mailing Address
CHRISITNE PETERSON NNP
1034 N 500 W
PROVO, UT 84604-3337
Phone number: 801-357-7707
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