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1700146495
KAREN BLACK
FERNDALE, WA
NPI
1700146495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10003189)
Enumeration Date
2012-05-29
Last Update Date
2012-05-29
Business Address
Mrs. KAREN BLACK PA-C
3901 UNICK RD
FERNDALE, WA 98248-9003
Phone number: 360-384-8329
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Mailing Address
Mrs. KAREN BLACK PA-C
16437 NE 29TH ST
BELLEVUE, WA 98008-2113
Phone number: 360-384-8329
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