Individual
DEBORAH ANN SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
301 E BETHANY HOME RD, A-115, PHOENIX, AZ 85012-1263
(602) 569-9306
Mailing address
301 E BETHANY HOME RD, A-115, PHOENIX, AZ 85012-1263
(602) 569-9306
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
#MT-03278P
AZ
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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