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1306853239
SHAWN L SLACK
EVERETT, WA
NPI
1306853239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: WA 32937)
Enumeration Date
2006-08-02
Last Update Date
2013-03-15
Business Address
-- SHAWN L SLACK MD
3901 HOYT AVE
EVERETT, WA 98201-4918
Phone number: 425-259-0966
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Mailing Address
-- SHAWN L SLACK MD
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3903
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