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1114250842
ERICK BLACK
FALLS CHURCH, VA
NPI
1114250842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2009-09-14
Last Update Date
2009-09-14
Business Address
-- ERICK BLACK CSA
8116 ARLINGTON BLVD STE 117
FALLS CHURCH, VA 22042-1002
Phone number: 404-671-9556
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Mailing Address
-- ERICK BLACK CSA
8116 ARLINGTON BLVD STE 117
FALLS CHURCH, VA 22042-1002
Phone number: 404-671-9556
Copy
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