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Individual
MR. MARK ANTHONY SLAUGHTER SR.
Active
Individual
MR. MARK ANTHONY SLAUGHTER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
VN233655
CA
Other
Enumeration date
06/26/2007
Last updated
09/22/2011
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