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Trevor Decker
Student in an Organized Health Care Education/Training Program in Dothan, Alabama
NPI 1477313799

Trevor Decker is a Student in an Organized Health Care Education/Training Program based in Dothan, AL. Trevor Decker practices in Dothan, AL. The NPI Number for Trevor Decker is 1477313799 and holds a License No. (Alabama).

The current practice location address for Trevor Decker is 1108 Ross Clark Cir Ste 210, Dothan, AL and can be reached out via phone at 334-712-3329 and via fax at 334-305-0219.

Location: 1108 Ross Clark Cir Ste 210, Dothan, AL, 36301-3022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477313799
Provider Name
Trevor Decker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1108 Ross Clark Cir Ste 210, Dothan, AL, 36301-3022
Phone Number
334-712-3329
Fax Number
334-305-0219
Provider Enumeration Date
03/21/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1108 Ross Clark Cir Ste 210
City
Dothan
State
Alabama
Zip
36301-3022
Phone Number
334-712-3329
Fax Number
334-305-0219
person
Provider Business Mailing Address Details
Address
1108 Ross Clark Cir Ste 210
City
Dothan
State
Alabama
Zip
36301-3022
Phone Number
334-712-3329
Fax Number
334-305-0219
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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