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1982321592
SCOTT D PETERSEN
SALT LAKE CITY, UT
NPI
1982321592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
Mr. SCOTT D PETERSEN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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Mailing Address
Mr. SCOTT D PETERSEN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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