STACY SLACK

FAIRVIEW PARK, OH
NPI1255491916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT 002032)
Enumeration Date2006-12-11
Last Update Date2013-10-01
Business Address
-- STACY SLACK
21225 LORAIN RD
FAIRVIEW PARK, OH 44126-2120
Phone number: 440-331-3180
Mailing Address
-- STACY SLACK
21225 LORAIN RD
FAIRVIEW PARK, OH 44126-2120
Phone number: 440-331-3180
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