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1194839647
SLADE ALAN SUCHECKI
SOUTHPORT, NC
NPI
1194839647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200401133)
Enumeration Date
2006-08-19
Last Update Date
2010-02-08
Business Address
DR. SLADE ALAN SUCHECKI D.O.
3960 EXECUTIVE PARK BLVD SUITE 600
SOUTHPORT, NC 28461-8184
Phone number: 910-454-4343
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Mailing Address
DR. SLADE ALAN SUCHECKI D.O.
3960 EXECUTIVE PARK BLVD SUITE 600
SOUTHPORT, NC 28461-8184
Phone number: 910-454-4343
Copy
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