ANTHONY BRIAN BLACK

TUBA CITY, AZ
NPI1851652002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RM173323)
Enumeration Date2012-06-05
Last Update Date2012-06-05
Business Address
-- ANTHONY BRIAN BLACK RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
-- ANTHONY BRIAN BLACK RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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