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1922826908
OLIVIA LARK PETERSEN
OGDEN, UT
NPI
1922826908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
OLIVIA LARK PETERSEN
5320 ADAMS AVE PKWY
OGDEN, UT 84405-6913
Phone number: 801-476-7800
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Mailing Address
OLIVIA LARK PETERSEN
3869 S 3050 W
WEST HAVEN, UT 84401-1997
Phone number: 949-395-4149
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