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1447341193
DOUGLAS LAMAR FILLMORE
PROVO, UT
NPI
1447341193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 4945215-1205)
Enumeration Date
2006-09-27
Last Update Date
2007-10-15
Business Address
DOUGLAS LAMAR FILLMORE PA
1055 N 500 W SUITE 121
PROVO, UT 84604-3305
Phone number: 801-373-7350
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Mailing Address
DOUGLAS LAMAR FILLMORE PA
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8215
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