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1154897379
CRYSTAL SUE BLACK
HARKER HEIGHTS, TX
NPI
1154897379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP138623)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
CRYSTAL SUE BLACK FNP-C
625 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548-1600
Phone number: 254-690-0618
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Mailing Address
CRYSTAL SUE BLACK FNP-C
5940 CROSSLAKE PKWY
WACO, TX 76712-6986
Phone number: 254-666-2999
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