Individual
JESSICA SLAVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 1ST ST S, WILLMAR, MN 56201-4243
(320) 231-5057
Mailing address
10126 11TH ST NE, SPICER, MN 56288-9427
(701) 306-7500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2342
MN
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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