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1497724645
ANTHONY SHANE BLACK
DOTHAN, AL
NPI
1497724645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: AL 1638)
Enumeration Date
2006-03-17
Last Update Date
2013-09-09
Business Address
Dr. ANTHONY SHANE BLACK DC
1491 HARTFORD HWY
DOTHAN, AL 36301-3349
Phone number: 334-673-1488
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Mailing Address
Dr. ANTHONY SHANE BLACK DC
PO BOX 6853
DOTHAN, AL 36302-6853
Phone number: 334-673-1488
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