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1619520467
CHRISTOPHER BLACK
JACKSONVILLE, FL
NPI
1619520467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
CHRISTOPHER BLACK
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4326
Phone number: 904-745-0067
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Mailing Address
CHRISTOPHER BLACK
2504 VAN GUNDY RD
JACKSONVILLE, FL 32208-2583
Phone number: 904-446-7427
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