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1265650998
GARY W SLATER
URBANA, IL
NPI
1265650998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 85000374)
Enumeration Date
2007-04-20
Last Update Date
2014-05-12
Business Address
-- GARY W SLATER PA
611 W. PARK ST. CARDIOVASCULAR AND THORACIC SURGERY
URBANA, IL 61801
Phone number: 217-904-7000
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Mailing Address
-- GARY W SLATER PA
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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