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1669024246
JOSHUA JAY BLACK
MEDINA, OH
NPI
1669024246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OH APRN.CNP.025127)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
JOSHUA JAY BLACK APRN, PMHNP-BC
807 E WASHINGTON ST STE 220
MEDINA, OH 44256-3330
Phone number: 330-536-3746
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Mailing Address
JOSHUA JAY BLACK APRN, PMHNP-BC
13154 NAVARRE RD SW
BEACH CITY, OH 44608-9749
Phone number: 330-417-9497
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