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1194494187
TINA L BLACK
CHESAPEAKE, OH
NPI
1194494187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
TINA L BLACK CMS
103 2ND AVE
CHESAPEAKE, OH 45619-1134
Phone number: 740-451-0342
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Mailing Address
TINA L BLACK CMS
103 2ND AVE
CHESAPEAKE, OH 45619-1134
Phone number: 740-451-0342
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