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1700318375
JAMES TYLER SLACK
RENO, NV
NPI
1700318375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-04-01
Last Update Date
2017-04-01
Business Address
-- JAMES TYLER SLACK
4773 CAUGHLIN PKWY STE 2
RENO, NV 89519-1012
Phone number: 775-677-2216
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Mailing Address
-- JAMES TYLER SLACK
4773 CAUGHLIN PKWY STE 2
RENO, NV 89519-1012
Phone number: 775-677-2216
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