JACOB BLACK

WINNEMUCCA, NV
NPI1023358876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NV  2808)
Enumeration Date2013-02-14
Last Update Date2016-07-22
Business Address
-- JACOB BLACK DPT
325 HANSON ST
WINNEMUCCA, NV 89445-3607
Phone number: 775-625-2222
Mailing Address
-- JACOB BLACK DPT
325 HANSON ST
WINNEMUCCA, NV 89445-3607
Phone number: 775-625-2222
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