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1053719104
SLADE RANKIN
ALLENTOWN, PA
NPI
1053719104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA057169)
Enumeration Date
2014-12-05
Last Update Date
2014-12-05
Business Address
-- SLADE RANKIN
1250 S CEDAR CREST BLVD STE 210
ALLENTOWN, PA 18103-6224
Phone number: 610-402-6986
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Mailing Address
-- SLADE RANKIN
PO BOX 1754
ALLENTOWN, PA 18105-1754
Phone number:
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