MARVIN EDGAR SLACK

KINGMAN, AZ
NPI1538054283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R4656)
Enumeration Date2025-06-12
Last Update Date2025-06-12
Business Address
Dr. MARVIN EDGAR SLACK DO
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 619-244-8233
Mailing Address
Dr. MARVIN EDGAR SLACK DO
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-263-3160
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