JACOB LOUIS PETERSON

TAYLORSVILLE, UT
NPI1841600137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-05-07
Last Update Date2014-05-07
Business Address
-- JACOB LOUIS PETERSON
5667 S REDWOOD RD
TAYLORSVILLE, UT 84123-5433
Phone number: 801-979-1351
Mailing Address
-- JACOB LOUIS PETERSON
6195 FOX POINTE CIR APT C1
PARK CITY, UT 84098-7597
Phone number: 208-629-9680
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