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1467291120
JAMES ROBERT BLACK
SAINT LOUIS, MO
NPI
1467291120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MO 39239291)
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
JAMES ROBERT BLACK MD
1402 S GRAND BLVD
SAINT LOUIS, MO 63104-1004
Phone number: 310-363-3369
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Mailing Address
JAMES ROBERT BLACK MD
2 APPALOOSA LN
ROLLING HILLS, CA 90274-5006
Phone number: 310-363-3369
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