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1104406743
KATHERINE BLACK
MANASSAS, VA
NPI
1104406743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
Mrs. KATHERINE BLACK PA
8100 ASHTON AVE STE 200
MANASSAS, VA 20109-5688
Phone number: 877-415-4116
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Mailing Address
Mrs. KATHERINE BLACK PA
8100 ASHTON AVE STE 200
MANASSAS, VA 20109-5688
Phone number: 877-415-4116
Copy
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