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1821195447
CARRIE JUNE BLACK
MADISONVILLE, KY
NPI
1821195447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3002209)
Enumeration Date
2006-09-17
Last Update Date
2020-12-08
Business Address
CARRIE JUNE BLACK ARNP
1756 E CENTER ST
MADISONVILLE, KY 42431-2253
Phone number: 270-821-3300
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Mailing Address
CARRIE JUNE BLACK ARNP
200 CLINIC DR
MADISONVILLE, KY 42431-1661
Phone number:
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