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1376203802
NICOLE BLACK
YPSILANTI, MI
NPI
1376203802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 139623)
Enumeration Date
2021-12-24
Last Update Date
2021-12-24
Business Address
NICOLE BLACK CRNA
5301 MCAULEY DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-3456
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Mailing Address
NICOLE BLACK CRNA
203 E FOREST AVE
YPSILANTI, MI 48198-3075
Phone number: 517-375-1808
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