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1124388129
LAURA CELESTE BLACK
WEST HARTFORD, CT
NPI
1124388129
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Former Name
LAURA CELESTE DEPOULI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: RI MD14897)
Enumeration Date
2012-05-23
Last Update Date
2018-05-15
Business Address
LAURA CELESTE BLACK M.D.
336 N MAIN ST
WEST HARTFORD, CT 06117
Phone number: 860-232-4891
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Mailing Address
LAURA CELESTE BLACK M.D.
17 VIRGINIA AVE SUITE 107
PROVIDENCE, RI 02905-4406
Phone number: 401-443-4992
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