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1699420141
TRACE F PETERSON
EPHRAIM, UT
NPI
1699420141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
TRACE F PETERSON
66 N 180 W
EPHRAIM, UT 84627-2130
Phone number: 435-283-0164
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Mailing Address
TRACE F PETERSON
66 N 180 W
EPHRAIM, UT 84627-2130
Phone number: 435-283-0164
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