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1568777381
DJUANA GAIL BLACK
TUSCALOOSA, AL
NPI
1568777381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-069323)
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
Mrs. DJUANA GAIL BLACK CRNP
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404-2958
Phone number: 205-759-7246
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Mailing Address
Mrs. DJUANA GAIL BLACK CRNP
1050 RUBY TYLER PKWY
TUSCALOOSA, AL 35404-2958
Phone number: 205-759-7246
Copy
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