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1962835157
REBECCA PETERSEN
BRIGHAM CITY, UT
NPI
1962835157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 5911503-1701)
Enumeration Date
2013-08-12
Last Update Date
2013-08-12
Business Address
-- REBECCA PETERSEN Pharm D
770 S 400 E APT 50
BRIGHAM CITY, UT 84302-3351
Phone number: 435-720-3840
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Mailing Address
-- REBECCA PETERSEN Pharm D
770 S 400 E APT 50
BRIGHAM CITY, UT 84302-3351
Phone number: 435-720-3840
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