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1477123073
KRISTEN BLACK
LOUISVILLE, KY
NPI
1477123073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KY 1171948)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
KRISTEN BLACK
4120 WOODED ACRE LN
LOUISVILLE, KY 40245-2938
Phone number: 502-243-1643
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Mailing Address
KRISTEN BLACK
4120 WOODED ACRE LN
LOUISVILLE, KY 40245-2938
Phone number: 502-243-1643
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