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Individual

SLADE IAN REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 908-6243
Mailing address
1619 ELWOOD AVE, GREENSBORO, NC 27403-3405

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
290973
NC

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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