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1477290922
MARY MEGAN BLACK
JASPER, AL
NPI
1477290922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH10809)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
MARY MEGAN BLACK PT, DPT
1000 HIGHWAY 78 W
JASPER, AL 35501-3655
Phone number: 205-471-5713
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Mailing Address
MARY MEGAN BLACK PT, DPT
3967 ASPEN ST
NORTHPORT, AL 35475-4634
Phone number: 205-792-5974
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