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1417229675
ASHLEY BLACK
FAYETTEVILLE, NC
NPI
1417229675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03266)
Enumeration Date
2012-02-03
Last Update Date
2013-04-19
Business Address
-- ASHLEY BLACK PA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-8780
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Mailing Address
-- ASHLEY BLACK PA
PO BOX 40908
FAYETTEVILLE, NC 28309-0908
Phone number: 910-615-6448
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