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1497764187
CHARLES B BLACK
DURANGO, CO
NPI
1497764187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WI 42300)
Additional Taxonomies
208600000X Surgery
(Licence: CO DR.0051621)
Enumeration Date
2006-08-05
Last Update Date
2023-03-07
Business Address
Dr. CHARLES B BLACK MD
1010 THREE SPRINGS BLVD
DURANGO, CO 81301-8296
Phone number: 970-247-4311
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Mailing Address
Dr. CHARLES B BLACK MD
1010 THREE SPRINGS BLVD
DURANGO, CO 81301-8296
Phone number: 970-247-4311
Copy
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