HEATHER BLACK

PEDRO, OH
NPI1740828961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  173189)
Enumeration Date2019-12-18
Last Update Date2019-12-18
Business Address
HEATHER BLACK
115 PRIVATE ROAD 977
PEDRO, OH 45659-8608
Phone number: 740-534-1386
Mailing Address
HEATHER BLACK
115 PRIVATE ROAD 977
PEDRO, OH 45659-8608
Phone number: 740-534-1386
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