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1871024372
DEKKER DEACON
SALT LAKE CITY, UT
NPI
1871024372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 10957034-1205)
Enumeration Date
2017-03-25
Last Update Date
2021-12-03
Business Address
Dr. DEKKER DEACON M.D., Ph.D.
30 N 1900 E RM 4A330
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-2121
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Mailing Address
Dr. DEKKER DEACON M.D., Ph.D.
30 N 1900 E RM 4A330
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-2121
Copy
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