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1427042092
DAVID L BLACK
HARRISBURG, PA
NPI
1427042092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA MA000813L)
Enumeration Date
2005-09-09
Last Update Date
2020-02-19
Business Address
Mr. DAVID L BLACK PAC
4310 LONDONDERRY RD SUITE 202
HARRISBURG, PA 17109-5300
Phone number: 717-920-7664
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Mailing Address
Mr. DAVID L BLACK PAC
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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