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1487109971
STEPHANIE BLACK
SACRAMENTO, CA
NPI
1487109971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-08-24
Last Update Date
2018-03-17
Business Address
-- STEPHANIE BLACK
651 I ST
SACRAMENTO, CA 95814-2400
Phone number: 916-874-2696
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Mailing Address
-- STEPHANIE BLACK
651 I ST
SACRAMENTO, CA 95814-2400
Phone number: 916-874-2696
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