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1245258458
JERRY SLATER
LOMA LINDA, CA
NPI
1245258458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: CA G60086)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
-- JERRY SLATER M.D.
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-8311
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Mailing Address
-- JERRY SLATER M.D.
PO BOX 30969
LOS ANGELES, CA 90030-0969
Phone number: 909-558-3014
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