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1801853593
BARRY G. BLACK
DECATUR, AL
NPI
1801853593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-066229)
Enumeration Date
2006-04-27
Last Update Date
2007-07-24
Business Address
-- BARRY G. BLACK CRNA
1122 14TH AVE SE
DECATUR, AL 35601-3361
Phone number: 256-560-2890
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Mailing Address
-- BARRY G. BLACK CRNA
1900 FLINT RD SE
DECATUR, AL 35601-6031
Phone number: 256-353-0626
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