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Individual

EMILY PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8500 WHITE STALLION TRL, MCKINNEY, TX 75070-6898
(801) 735-9547
Mailing address
8500 WHITE STALLION TRL, MCKINNEY, TX 75070-6898

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3690326

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1323
01- NON- MEDICARE
Enumeration date
12/08/2022
Last updated
12/08/2022
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