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1154852689
NICHOLAS DEAN BLACK
FRESNO, CA
NPI
1154852689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A157708)
Enumeration Date
2017-03-26
Last Update Date
2022-08-02
Business Address
Dr. NICHOLAS DEAN BLACK MD
2823 FRESNO ST
FRESNO, CA 93721-1324
Phone number: 559-443-2682
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Mailing Address
Dr. NICHOLAS DEAN BLACK MD
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number: 559-443-2682
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