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1063436616
MELINDA RAE SLACK
SPRINGFIELD, MO
NPI
1063436616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MO MDR9C17)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Dr. MELINDA RAE SLACK M.D
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-3219
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Mailing Address
Dr. MELINDA RAE SLACK M.D
5822 E SPRING DR
SPRINGFIELD, MO 65809-3374
Phone number: 417-820-3219
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