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1053411132
MICHELLE R BLACK
BOWLING GREEN, KY
NPI
1053411132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3003025)
Enumeration Date
2006-09-25
Last Update Date
2014-04-02
Business Address
-- MICHELLE R BLACK APRN
427 US 31W BYP
BOWLING GREEN, KY 42101-1703
Phone number: 270-796-8800
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Mailing Address
-- MICHELLE R BLACK APRN
PO BOX 90039
BOWLING GREEN, KY 42102-9039
Phone number: 270-796-8800
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