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Individual

JUSTIN DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
223 E 1640 N, PLEASANT GROVE, UT 84062-9288
(801) 800-7256
Mailing address
223 E 1640 N, PLEASANT GROVE, UT 84062-9288

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/13/2019
Last updated
05/13/2019
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