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Individual

CHRISSA PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 FOOTHILL BLVD, SALT LAKE CITY, UT 84113-1106
(801) 582-1565
Mailing address
1138 E ELECTRA LN, SANDY, UT 84094-4015

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
10/23/2017
Last updated
10/23/2017
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