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1295068161
LAURA BLACK
WATERTOWN, MA
NPI
1295068161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA 186294)
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
-- LAURA BLACK NP
200 DEXTER AVE SUITE K
WATERTOWN, MA 02472-4238
Phone number: 617-600-3195
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Mailing Address
-- LAURA BLACK NP
200 DEXTER AVE SUITE K
WATERTOWN, MA 02472-4238
Phone number: 617-600-3195
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