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1710419635
EMILY PETTIT BLACK
WESTOVER, WV
NPI
1710419635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WV 4266)
Enumeration Date
2017-03-30
Last Update Date
2018-07-08
Business Address
EMILY PETTIT BLACK DDS
157 HOLLAND AVE
WESTOVER, WV 26501
Phone number: 304-296-1721
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Mailing Address
EMILY PETTIT BLACK DDS
440 OVERHILL ST
MORGANTOWN, WV 26505-4825
Phone number: 304-610-6542
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