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Individual

MIDORA SONYA SLAUGHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2320 TAYLOR DR, IOWA CITY, IA 52240-7044
(319) 621-3793
Mailing address
2320 TAYLOR DR, IOWA CITY, IA 52240-7044
(319) 621-3793

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82-1569528
IA
Enumeration date
05/18/2017
Last updated
07/21/2022
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