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1861840753
MCKADE PETERSON
LEHI, UT
NPI
1861840753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
-- MCKADE PETERSON
216 E MAIN ST SUITE 4
LEHI, UT 84043-2231
Phone number: 801-255-5131
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Mailing Address
-- MCKADE PETERSON
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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