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1417096785
EDNA M BLACK
UNION CITY, TN
NPI
1417096785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- EDNA M BLACK
201 W MAIN ST SUITE C
UNION CITY, TN 38261-2131
Phone number: 731-885-8810
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Mailing Address
-- EDNA M BLACK
110 HIGHLAND AVE
MARTIN, TN 38237-2504
Phone number:
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