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1902636459
JACOB PETERSON
LAYTON, UT
NPI
1902636459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-08-07
Last Update Date
2024-09-25
Business Address
JACOB PETERSON
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1845
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Mailing Address
JACOB PETERSON
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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