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Individual

AMANDA LEA SLATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8651
(740) 687-8143
Mailing address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8651
(740) 687-8143

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AP2282058A12
OH

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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