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1215286513
EKATERINA V BLACK
GASTONIA, NC
NPI
1215286513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 90070)
Enumeration Date
2012-08-31
Last Update Date
2012-08-31
Business Address
-- EKATERINA V BLACK CRNA
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-834-4113
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Mailing Address
-- EKATERINA V BLACK CRNA
PO BOX 12845
GASTONIA, NC 28052-0017
Phone number: 704-864-8772
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