Individual
DEBRA ANN SLATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
303 MERCHANT ST, FAIRMONT, WV 26554-5213
(304) 366-2710
Mailing address
303 MERCHANT ST, FAIRMONT, WV 26554-5213
(304) 366-2710
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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