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1073164588
KATIE BLACK
GROVE CITY, OH
NPI
1073164588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.024918)
Enumeration Date
2019-09-25
Last Update Date
2021-09-24
Business Address
KATIE BLACK
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123-9035
Phone number: 614-277-2921
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Mailing Address
KATIE BLACK
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123-9035
Phone number:
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