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1346994779
HUNTER REID SLACK
EVANS, GA
NPI
1346994779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT015755)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
HUNTER REID SLACK
415 TOWN PARK BLVD
EVANS, GA 30809-3487
Phone number: 706-868-1707
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Mailing Address
HUNTER REID SLACK
2367 FRUIT HILL RD
NINETY SIX, SC 29666-5011
Phone number:
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