Individual
OLIVER DEKAIRELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3737 W 4100 S, WEST VALLEY CITY, UT 84120-5543
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-118899
UT
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
02/19/2019
Last updated
06/02/2025
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