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1649022344
JONAS BLACK
GREENVILLE, NC
NPI
1649022344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
JONAS BLACK DOO
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4100
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Mailing Address
JONAS BLACK DOO
7611 BREEZY POINT LN APT 207
RALEIGH, NC 27617-6794
Phone number: 919-612-3740
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