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1912009739
MARK S SLAUGHTER
EDWARDSVILLE, IL
NPI
1912009739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070007731)
Enumeration Date
2006-09-02
Last Update Date
2008-02-01
Business Address
Mr. MARK S SLAUGHTER PT
219 2ND AVE. SUITE C
EDWARDSVILLE, IL 62025-2556
Phone number: 618-656-5433
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Mailing Address
Mr. MARK S SLAUGHTER PT
219 2ND AVE. SUITE C
EDWARDSVILLE, IL 62025-2556
Phone number: 618-656-5433
Copy
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