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1386695419
JAMIE BLACK
LEXINGTON, KY
NPI
1386695419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: KY PA690)
Enumeration Date
2006-05-13
Last Update Date
2007-07-08
Business Address
-- JAMIE BLACK PA-C
1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503-1475
Phone number: 859-277-7129
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Mailing Address
-- JAMIE BLACK PA-C
1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503-1475
Phone number: 859-277-7129
Copy
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