ROBERT E BLACK

BLOOMINGTON, IN
NPI1053301887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000062A)
Enumeration Date2005-10-24
Last Update Date2007-07-08
Business Address
Mr. ROBERT E BLACK ATC
1001 E 17TH ST
BLOOMINGTON, IN 47408-1590
Phone number: 812-856-2225
Mailing Address
Mr. ROBERT E BLACK ATC
1207 W WINTERSWEET CT
BLOOMINGTON, IN 47404-1827
Phone number: 812-345-3343
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