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1811955388
KATHERYN K BLACK
PHOENIX, AZ
NPI
1811955388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 007526)
Enumeration Date
2006-05-03
Last Update Date
2018-05-31
Business Address
KATHERYN K BLACK DO
4212 N 16TH ST
PHOENIX, AZ 85016
Phone number: 602-263-1200
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Mailing Address
KATHERYN K BLACK DO
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
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