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1265854905
JEFFREY BLACK
DALLAS, TX
NPI
1265854905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: TX H8583)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
-- JEFFREY BLACK
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-8596
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Mailing Address
-- JEFFREY BLACK
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number:
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