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1871681130
BRENDA LYNN BLACK
MILL CREEK, WA
NPI
1871681130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- BRENDA LYNN BLACK AT,C
1508 136TH ST SE
MILL CREEK, WA 98012-5310
Phone number: 425-385-7038
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Mailing Address
-- BRENDA LYNN BLACK AT,C
24205 54TH AVE W
MOUNTLAKE TERRACE, WA 98043-5515
Phone number: 425-697-2453
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