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1568199214
DEBORAH DOMAL BLACK
FLORENCE, KY
NPI
1568199214
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Former Name
DEBORAH ROSE DOMAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
DEBORAH DOMAL BLACK PT
212 MAIN ST
FLORENCE, KY 41042-2269
Phone number: 859-980-7200
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Mailing Address
DEBORAH DOMAL BLACK PT
2628 LEGACY RDG
FLORENCE, KY 41042-8403
Phone number: 859-466-4923
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