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1144351800
SUSAN IRENE BLACK
TUCSON, AZ
NPI
1144351800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AZ RN039229)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Ms. SUSAN IRENE BLACK RN, NP, CNM
1224 E LOWELL ST BLDG 95
TUCSON, AZ 85721-0095
Phone number: 520-621-4801
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Mailing Address
Ms. SUSAN IRENE BLACK RN, NP, CNM
4520 E GLENN ST
TUCSON, AZ 85712-1606
Phone number: 520-795-3480
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