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Individual
DAVID LAWRENCE DEATON
Active
Individual
DAVID LAWRENCE DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8469216-1206
UT
363AM0700X
Medical Physician Assistant
PA654
NV
Other
Enumeration date
07/17/2006
Last updated
08/19/2013
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