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JEREMIAH DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSS

Contact information

Practice address
10187 US HIGHWAY 68 E, BENTON, KY 42025-6505
(270) 331-3719
Mailing address
10187 US HIGHWAY 68 E, BENTON, KY 42025-6505
(270) 331-3719

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
D95248326
KY

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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