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1376798421
IAIN ALAN BLACK
PEORIA, AZ
NPI
1376798421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 4339)
Enumeration Date
2008-11-17
Last Update Date
2015-02-19
Business Address
Mr. IAIN ALAN BLACK PA-C
13943 N 91ST AVE BUILDING I
PEORIA, AZ 85381-3629
Phone number: 623-815-2690
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Mailing Address
Mr. IAIN ALAN BLACK PA-C
13943 N. 91ST AVE, BUILDING I
PEORIA, AZ 85381-3692
Phone number: 623-815-2690
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