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1174042634
KIMBERLY SUE BLACK
INDIANAPOLIS, IN
NPI
1174042634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: IN 28097369a)
Enumeration Date
2017-09-15
Last Update Date
2017-09-15
Business Address
KIMBERLY SUE BLACK Rn
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256-1695
Phone number: 317-509-5321
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Mailing Address
KIMBERLY SUE BLACK Rn
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256-1695
Phone number: 317-621-5017
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