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1184818601
JILL DIANE BLACK
LEWES, DE
NPI
1184818601
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Former Name
JILL BLACK LATTANZI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J10000513)
Enumeration Date
2007-08-28
Last Update Date
2014-07-03
Business Address
Dr. JILL DIANE BLACK PT, DPT, EdD
701 SAVANNAH RD A-1
LEWES, DE 19958-1550
Phone number: 302-644-2530
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Mailing Address
Dr. JILL DIANE BLACK PT, DPT, EdD
701 SAVANNAH RD A-1
LEWES, DE 19958-1550
Phone number: 302-644-2530
Copy
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