TANYA J BLACK

ST CLOUD, MN
NPI1770680894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  2006005172)
Enumeration Date2006-09-20
Last Update Date2016-01-26
Business Address
-- TANYA J BLACK APRN, BC
4801 VETERANS DR ST CLOUD VAHCS
ST CLOUD, MN 56303
Phone number: 320-252-1670
Mailing Address
-- TANYA J BLACK APRN, BC
4801 VETERANS DR ST CLOUD VAHCS
ST CLOUD, MN 56303
Phone number: 320-252-1670
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