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1801074794
DAVID ALLEN BLACK
GREENFIELD, IA
NPI
1801074794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001856)
Enumeration Date
2008-02-04
Last Update Date
2012-09-14
Business Address
-- DAVID ALLEN BLACK PA
609 SE KENT ST
GREENFIELD, IA 50849-9454
Phone number: 641-743-2123
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Mailing Address
-- DAVID ALLEN BLACK PA
609 SE KENT ST
GREENFIELD, IA 50849-9454
Phone number: 641-743-2123
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