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1366968307
KYLE JOSEPH BLACK
FLORENCE, AZ
NPI
1366968307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 13245)
Enumeration Date
2017-08-22
Last Update Date
2018-03-17
Business Address
KYLE JOSEPH BLACK PT
350 S MAIN ST
FLORENCE, AZ 85132-8513
Phone number: 520-868-0098
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Mailing Address
KYLE JOSEPH BLACK PT
PO BOX 1400
FLORENCE, AZ 85132-3028
Phone number: 520-868-1098
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