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1093752545
PAMELA O BLACK MD PA
ALBUQUERQUE, NM
NPI
1093752545
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Entity Type
Organization
Authorized Contact
TIMOTHY JACOBSON
CEO
505-343-1711
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2006-06-01
Last Update Date
2013-12-13
Business Address
PAMELA O BLACK MD PA
3820 COMMONS AVE NE
ALBUQUERQUE, NM 87109-5831
Phone number: 505-343-1711
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Mailing Address
PAMELA O BLACK MD PA
PO BOX 25206
ALBUQUERQUE, NM 87125-0206
Phone number: 505-343-1711
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