DAVID SLACK

ATCHISON, KS
NPI1568913713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS  24-00253)
Enumeration Date2016-10-21
Last Update Date2016-10-21
Business Address
DAVID SLACK
1020 N 2ND ST
ATCHISON, KS 66002-1402
Phone number: 913-360-7541
Mailing Address
DAVID SLACK
1020 N 2ND ST
ATCHISON, KS 66002-1402
Phone number: 913-360-7541
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