TYSON RICHARD SLACK

DAYTON, OH
NPI1942151923
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2026-02-05
Last Update Date2026-02-05
Business Address
TYSON RICHARD SLACK
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: 937-496-2000
Mailing Address
TYSON RICHARD SLACK
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: 937-496-2000
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