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1104582246
WEBSTER DAVID SLACK
SANTA CLARITA, CA
NPI
1104582246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CA 718243)
Enumeration Date
2021-11-12
Last Update Date
2021-11-12
Business Address
Mr. WEBSTER DAVID SLACK RN
24790 VALLEY ST
SANTA CLARITA, CA 91321-2629
Phone number: 661-670-2020
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Mailing Address
Mr. WEBSTER DAVID SLACK RN
16901 NAPA ST APT 215
NORTHRIDGE, CA 91343-5653
Phone number: 805-490-8797
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