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1093370736
JEFF BLACK
AMARILLO, TX
NPI
1093370736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 209094)
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
JEFF BLACK
6641 W AMARILLO BLVD
AMARILLO, TX 79106-1755
Phone number: 806-352-8800
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Mailing Address
JEFF BLACK
6641 W AMARILLO BLVD
AMARILLO, TX 79106-1755
Phone number:
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