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1154154425
ROSA ELENA BLACK
LUBBOCK, TX
NPI
1154154425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1171100)
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
ROSA ELENA BLACK
10208 QUAKER AVE STE 200
LUBBOCK, TX 79424-8394
Phone number: 806-795-4500
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Mailing Address
ROSA ELENA BLACK
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407-2520
Phone number: 806-744-7223
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