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TRACE PETERSON

Counselor

NPI: 1699420141Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

Contact & Hours

Address
66 N 180 W
EPHRAIM, UT 84627

Quick Facts

NPI
1699420141
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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