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1609270982
MISSY BLACK
FLORENCE, AL
NPI
1609270982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL 712)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
Mrs. MISSY BLACK
211 ANA DR
FLORENCE, AL 35630-1768
Phone number: 256-766-8963
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Mailing Address
Mrs. MISSY BLACK
211 ANA DR
FLORENCE, AL 35630-1768
Phone number: 256-766-8963
Copy
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