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1285780254
BONNIE LOU BLACK
GRAND FORKS, ND
NPI
1285780254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ND 630)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mrs. BONNIE LOU BLACK MS, CCC-SLP
2400 47TH AVE S
GRAND FORKS, ND 58201-3405
Phone number: 701-746-2230
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Mailing Address
Mrs. BONNIE LOU BLACK MS, CCC-SLP
1102 S 36TH ST
GRAND FORKS, ND 58201-3904
Phone number: 701-795-2155
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