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1487680369
JACK DECKER
SAGINAW, MI
NPI
1487680369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704110453)
Enumeration Date
2006-06-23
Last Update Date
2021-03-26
Business Address
JACK DECKER CRNA
1447 N HARRISON ST
SAGINAW, MI 48602-4727
Phone number: 989-583-6237
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Mailing Address
JACK DECKER CRNA
1447 N HARRISON ST
SAGINAW, MI 48602-4727
Phone number: 989-583-6237
Copy
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