JENNIFER BLACK

BLOOMINGTON, IN
NPI1316173727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001094A)
Enumeration Date2009-06-01
Last Update Date2020-12-02
Business Address
JENNIFER BLACK PA-C
583 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5515
Phone number: 812-333-2663
Mailing Address
JENNIFER BLACK PA-C
583 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5515
Phone number:
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