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1033211842
LORA L BLACK
CHICO, CA
NPI
1033211842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP6583)
Enumeration Date
2006-09-02
Last Update Date
2013-04-01
Business Address
LORA L BLACK NP
888 LAKESIDE VLG COMMONS
CHICO, CA 95928-3979
Phone number: 530-332-6337
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Mailing Address
LORA L BLACK NP
1531 ESPLANADE ATTN: MICHELLE - FINANCE
CHICO, CA 95926-3310
Phone number: 530-332-7479
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