CAROLYN MARGARET BLACK

WASILLA, AK
NPI1245461540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AK  119902014)
Enumeration Date2009-08-04
Last Update Date2014-07-01
Business Address
Mrs. CAROLYN MARGARET BLACK ATC
1001 E BOGARD RD
WASILLA, AK 99654-7114
Phone number: 907-376-2225
Mailing Address
Mrs. CAROLYN MARGARET BLACK ATC
1001 E BOGARD RD
WASILLA, AK 99654-7114
Phone number: 907-376-2225
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