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1750858072
MICHAEL R BLACK
SEATTLE, WA
NPI
1750858072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: WA rn60417384)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
MICHAEL R BLACK
901 RAINIER AVE S
SEATTLE, WA 98144-2839
Phone number: 206-470-3880
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Mailing Address
MICHAEL R BLACK
901 RAINIER AVE S
SEATTLE, WA 98144-2839
Phone number:
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