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1013113042
MARK ANTHONY SLAUGHTER
RIVERSIDE, CA
NPI
1013113042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN233655)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-06-26
Last Update Date
2011-09-22
Business Address
Mr. MARK ANTHONY SLAUGHTER LVN
769 W BLAINE ST
RIVERSIDE, CA 92507-3970
Phone number: 951-358-4705
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Mailing Address
Mr. MARK ANTHONY SLAUGHTER LVN
769 BLAINE ST.
RIVERSIDE, CA 92507
Phone number: 909-821-1641
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