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1023355765
DIANNE BLACK
PROVIDENCE, RI
NPI
1023355765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: RI NPP37734)
Enumeration Date
2013-01-15
Last Update Date
2018-03-28
Business Address
DIANNE BLACK NP
593 EDDY ST CLAVERICK 2
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4000
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Mailing Address
DIANNE BLACK NP
PO BOX 9484
PROVIDENCE, RI 02940-9484
Phone number: 401-854-2500
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