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1306403993
ALEXANDRIA BLACK
SPARTANBURG, SC
NPI
1306403993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 22567)
Enumeration Date
2019-05-20
Last Update Date
2022-02-14
Business Address
ALEXANDRIA BLACK
101 E WOOD ST STE 401
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6654
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Mailing Address
ALEXANDRIA BLACK
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number:
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