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1740513324
CLARISSA L PETERSON
PROVO, UT
NPI
1740513324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7457934-1206)
Enumeration Date
2009-09-14
Last Update Date
2024-05-20
Business Address
CLARISSA L PETERSON P.A.
299 E 900 S STE 101
PROVO, UT 84606-6107
Phone number: 801-374-9660
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Mailing Address
CLARISSA L PETERSON P.A.
589 SOUTH STATE STREET
PROVO, UT 84606-5056
Phone number: 801-429-2000
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