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1003286758
WILLARD DERE
SALT LAKE CITY, UT
NPI
1003286758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01038107A)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
Dr. WILLARD DERE M.D.
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Dr. WILLARD DERE M.D.
15 N 2030 E ROOM 2160A
SALT LAKE CITY, UT 84112-5339
Phone number: 801-585-2516
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