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1700816345
DONALD LOREN SLACK
MOUNT VERNON, WA
NPI
1700816345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00032809)
Enumeration Date
2006-07-03
Last Update Date
2017-03-02
Business Address
Dr. DONALD LOREN SLACK M.D.
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-424-4111
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Mailing Address
Dr. DONALD LOREN SLACK M.D.
505 S. 336TH ST. SUITE 600
FEDERAL WAY, WA 98003
Phone number: 253-838-6180
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