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Individual

MRS. DEBRA ALICE OMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1915 W 5950 S, ROY, UT 84067-1454
(801) 387-8215
Mailing address
187 E 1050 N, KAYSVILLE, UT 84037-1246
(801) 547-1037

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
144872-1701
UT

Other

Enumeration date
12/26/2006
Last updated
07/08/2007
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