Individual
JASON SLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 MACINTOSH RD, NORWALK, OH 44857-1662
(419) 668-5313
Mailing address
538 E IRON AVE, DOVER, OH 44622-2157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002678
WV
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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