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1013558675
MELANIE LAYNE BLACK
BORGER, TX
NPI
1013558675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 143340)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
MELANIE LAYNE BLACK FNP-C
104 N BRYAN ST
BORGER, TX 79007-4010
Phone number: 806-274-3627
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Mailing Address
MELANIE LAYNE BLACK FNP-C
6401 MOOREGATE DR
AMARILLO, TX 79109-6559
Phone number: 806-420-8718
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