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1316099666
STEPHANIE E BLACK
BOWLING GREEN, OH
NPI
1316099666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT2254)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- STEPHANIE E BLACK ATC
950 W WOOSTER ST
BOWLING GREEN, OH 43402-2603
Phone number: 419-354-8900
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Mailing Address
-- STEPHANIE E BLACK ATC
432 BUTTONWOOD AVE
BOWLING GREEN, OH 43402-3715
Phone number: 419-807-8344
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