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1003394495
MICHAEL ANDREW SLACK
FAYETTEVILLE, NC
NPI
1003394495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
MICHAEL ANDREW SLACK DPT
1712 OWEN DR
FAYETTEVILLE, NC 28304-3419
Phone number: 910-483-9300
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Mailing Address
MICHAEL ANDREW SLACK DPT
981 HIGH HOUSE RD STE 100
CARY, NC 27513-3510
Phone number: 919-388-0111
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