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Individual

SANDY SLOCUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
46 SECOND CIRCLE DR, WICHITA FALLS, TX 76306-4509
Mailing address
46 SECOND CIRCLE DRIVE, WICHITA FALLS, TX 76306
(940) 882-5076

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN14058
ME

Other

Enumeration date
02/21/2018
Last updated
03/17/2018
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