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1821393745
JESSICA PETERSEN
SANDY, UT
NPI
1821393745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: UT 7852051-2402)
Enumeration Date
2011-01-25
Last Update Date
2011-01-25
Business Address
Mrs. JESSICA PETERSEN PTA
8550 S 300 E APT 3
SANDY, UT 84070-1676
Phone number: 307-679-0532
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Mailing Address
Mrs. JESSICA PETERSEN PTA
8550 S 300 E APT 3
SANDY, UT 84070-1676
Phone number: 307-679-0532
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