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1508441239
JENNIFER BLACK
LAWRENCEVILLE, GA
NPI
1508441239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN236581)
Enumeration Date
2021-03-15
Last Update Date
2021-03-15
Business Address
JENNIFER BLACK NP-C
989 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA 30046-4702
Phone number: 770-962-1616
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Mailing Address
JENNIFER BLACK NP-C
3024 ABBOTTS OAK WAY
DULUTH, GA 30097-2190
Phone number: 770-547-5889
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