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1801862339
DONALD ALLEN BLACK
CLARKSVILLE, TN
NPI
1801862339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN PA038)
Enumeration Date
2006-02-24
Last Update Date
2022-09-08
Business Address
Mr. DONALD ALLEN BLACK PA-C
1000 HIGHWAY 76
CLARKSVILLE, TN 37043-8405
Phone number: 931-245-1150
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Mailing Address
Mr. DONALD ALLEN BLACK PA-C
1000 HIGHWAY 76
CLARKSVILLE, TN 37043-8405
Phone number: 931-245-1150
Copy
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