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1346066024
ALICE SEAVON BLACK
TYLER, TX
NPI
1346066024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1101X Technician/Technologist, Ophthalmic Assistant
(Licence: TX 190956)
Enumeration Date
2024-11-27
Last Update Date
2024-11-27
Business Address
ALICE SEAVON BLACK Opthalmic Assistant
428 CENTENNIAL PKWY
TYLER, TX 75703-7166
Phone number: 903-266-5900
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Mailing Address
ALICE SEAVON BLACK Opthalmic Assistant
428 CENTENNIAL PKWY
TYLER, TX 75703-7166
Phone number: 903-266-5990
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