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1699178582
JESSICA A BLACK
BEAUMONT, TX
NPI
1699178582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA17549)
Enumeration Date
2014-10-06
Last Update Date
2024-05-24
Business Address
JESSICA A BLACK PA-C
450 N 11TH ST
BEAUMONT, TX 77702-1804
Phone number: 832-548-5000
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Mailing Address
JESSICA A BLACK PA-C
PO BOX 66308
HOUSTON, TX 77266-6308
Phone number: 832-548-5000
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