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1053880435
ANNA J SLACK
BETHLEHEM, PA
NPI
1053880435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA XX000000)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
ANNA J SLACK PA-C
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 484-526-4641
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Mailing Address
ANNA J SLACK PA-C
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 484-526-4641
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