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1306598115
KELLY SUZANNE BLACK
GREENSBORO, NC
NPI
1306598115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: NC 212428)
Enumeration Date
2022-01-23
Last Update Date
2022-01-23
Business Address
KELLY SUZANNE BLACK RN, IBCLC
389 S SWING RD
GREENSBORO, NC 27409-2009
Phone number: 479-445-4033
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Mailing Address
KELLY SUZANNE BLACK RN, IBCLC
7803 PERTHSHIRE DR
OAK RIDGE, NC 27310-8306
Phone number: 479-445-4403
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