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1043271893
MICHAEL L. STAKER
TOOELE, UT
NPI
1043271893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: UT 5248029-1205)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
-- MICHAEL L. STAKER M.D.
28 OFFICER CIR
TOOELE, UT 84074-6061
Phone number: 435-833-2572
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Mailing Address
-- MICHAEL L. STAKER M.D.
4500 S 4000 W
WEST VALLEY CITY, UT 84120-6235
Phone number: 435-833-2572
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