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Debra Willardson, ATC
Other Specialist/Technologist in Salt Lake City, Utah
NPI 1467513713

Debra Willardson is a Other Specialist/Technologist based in Slc, UT. Debra Willardson practices in Salt Lake City, UT and has the professional credentials of ATC. The NPI Number for Debra Willardson is 1467513713 and holds a License No. 1216584810 (Utah).

The current practice location address for Debra Willardson is 1825 E South Campus Dr, Salt Lake City, UT and can be reached out via phone at 801-581-4836 and via fax at 801-585-5005.

Location: 1825 E South Campus Dr, Salt Lake City, UT, 84112-0900
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Provider Profile Details
NPI Number
1467513713
Provider Name
Debra Willardson
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1825 E South Campus Dr, Salt Lake City, UT, 84112-0900
Phone Number
801-581-4836
Fax Number
801-585-5005
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2255A2300X 01 UT ATHLETIC TRAINER
institution
Provider Business Practice Location Address Details
Address
1825 E South Campus Dr
City
State
Zip
84112-0900
Phone Number
801-581-4836
Fax Number
801-585-5005
person
Provider Business Mailing Address Details
Address
1825 E South Campus Dr
City
State
Zip
84112-0900
Phone Number
801-581-4836
Fax Number
801-585-5005
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
1216584810 (Utah)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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