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1245315191
LARRY VICTOR STAKER
SALT LAKE CITY, UT
NPI
1245315191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 150350-1205)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. LARRY VICTOR STAKER MD
60 E SOUTH TEMPLE EAGLE GATE PLAZA, 3RD FLOOR
SALT LAKE CITY, UT 84111-1004
Phone number: 801-578-5882
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Mailing Address
Dr. LARRY VICTOR STAKER MD
60 E SOUTH TEMPLE EAGLE GATE PLAZA, 3RD FLOOR
SALT LAKE CITY, UT 84111-1004
Phone number: 801-578-5882
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