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1700442068
JUSTIN DECKER
PLEASANT GROVE, UT
NPI
1700442068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
JUSTIN DECKER
223 E 1640 N
PLEASANT GROVE, UT 84062-9288
Phone number: 801-800-7256
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Mailing Address
JUSTIN DECKER
223 E 1640 N
PLEASANT GROVE, UT 84062-9288
Phone number:
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