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1841284460
KEITH LANIER BLACK
LOS ANGELES, CA
NPI
1841284460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G60334)
Enumeration Date
2005-09-09
Last Update Date
2007-07-08
Business Address
Dr. KEITH LANIER BLACK M.D.
8700 BEVERLY BLVD
LOS ANGELES, CA 90048-1865
Phone number: 310-967-1884
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Mailing Address
Dr. KEITH LANIER BLACK M.D.
PO BOX 512717
LOS ANGELES, CA 90051-0717
Phone number: 310-967-1884
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