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Individual
ARMANDO WAYNE SLACK
Active
Individual
ARMANDO WAYNE SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
2943543102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2943544405
UT
Other
Enumeration date
05/31/2007
Last updated
09/29/2025
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