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1851521249
DAVID L PETERSON
PROVO, UT
NPI
1851521249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7405325-1206)
Enumeration Date
2009-07-20
Last Update Date
2021-09-27
Business Address
DAVID L PETERSON P.A
1055 N 500 W STE 121
PROVO, UT 84604-3305
Phone number: 801-373-7350
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Mailing Address
DAVID L PETERSON P.A
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-354-8225
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