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1912068552
CHARLES L SLAUGHTER
JACKSON, MS
NPI
1912068552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT0161)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- CHARLES L SLAUGHTER PT
820 COOPER RD SUITE J
JACKSON, MS 39212-4099
Phone number: 601-372-9229
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Mailing Address
-- CHARLES L SLAUGHTER PT
PO BOX 7296
JACKSON, MS 39282-7296
Phone number: 601-372-9229
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