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1891243622
PAMELA J BLACK
MINNEAPOLIS, KS
NPI
1891243622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: KS 14-00129)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
-- PAMELA J BLACK
903 N 3RD AVE
MINNEAPOLIS, KS 67467-1705
Phone number: 785-224-5810
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Mailing Address
-- PAMELA J BLACK
903 N 3RD AVE
MINNEAPOLIS, KS 67467-1705
Phone number: 785-224-5810
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