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1295318335
GRANT M. SLACK
MORGANTOWN, WV
NPI
1295318335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
Dr. GRANT M. SLACK MD
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-598-4800
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Mailing Address
Dr. GRANT M. SLACK MD
1281 RIX MILLS RD
NEW CONCORD, OH 43762-3500
Phone number: 740-630-8881
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