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1912519349
ERIN BLACK
LOGAN, UT
NPI
1912519349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
ERIN BLACK
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
ERIN BLACK
835 W 720 N
TREMONTON, UT 84337-2413
Phone number: 435-512-5686
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