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1851652002
ANTHONY BRIAN BLACK
TUBA CITY, AZ
NPI
1851652002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RM173323)
Enumeration Date
2012-06-05
Last Update Date
2012-06-05
Business Address
-- ANTHONY BRIAN BLACK RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- ANTHONY BRIAN BLACK RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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