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1104196534
JOELLE IONE BLACK
TEMPLE, TX
NPI
1104196534
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Former Name
JOELLE IONE CHIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA13949)
Enumeration Date
2012-01-02
Last Update Date
2021-02-25
Business Address
JOELLE IONE BLACK MPAS, PA-C
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
JOELLE IONE BLACK MPAS, PA-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number:
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