CLARISSA L PETERSON

PROVO, UT
NPI1740513324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  7457934-1206)
Enumeration Date2009-09-14
Last Update Date2011-02-14
Business Address
CLARISSA L PETERSON P.A.
215 W 100 N
PROVO, UT 84601-4433
Phone number: 801-374-9660
Mailing Address
CLARISSA L PETERSON P.A.
589 SOUTH STATE STREET
PROVO, UT 84606-5056
Phone number: 801-429-2000
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