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1346591104
LAURA ANN BLACK
HEALDSBURG, CA
NPI
1346591104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 22370)
Enumeration Date
2012-09-19
Last Update Date
2014-09-23
Business Address
LAURA ANN BLACK F.N.P.
717 CENTER ST
HEALDSBURG, CA 95448-3604
Phone number: 707-433-7258
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Mailing Address
LAURA ANN BLACK F.N.P.
717 CENTER ST
HEALDSBURG, CA 95448-3604
Phone number: 707-433-7258
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