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1851451579
LAURA DIANE BLACK
ARCATA, CA
NPI
1851451579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 7155)
Enumeration Date
2006-12-11
Last Update Date
2016-10-28
Business Address
Ms. LAURA DIANE BLACK F.N.P.
HUMBOLDT STATE UNIVERSITY
ARCATA, CA 95521-8299
Phone number: 707-826-3146
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Mailing Address
Ms. LAURA DIANE BLACK F.N.P.
2001 PANORAMA DRIVE
ARCATA, CA 95521-6800
Phone number:
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