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1710910252
LORI DECKER
SALT LAKE CITY, UT
NPI
1710910252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 1002411206)
Enumeration Date
2006-07-08
Last Update Date
2008-02-19
Business Address
Ms. LORI DECKER P.A.
324 10TH AVE STE 154
SALT LAKE CITY, UT 84103-2876
Phone number: 801-408-8666
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Mailing Address
Ms. LORI DECKER P.A.
324 10TH AVE STE 154
SALT LAKE CITY, UT 84103-2876
Phone number: 801-408-8666
Copy
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