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1952748055
CATHY C BLACK
EVANSVILLE, IN
NPI
1952748055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: IN 31002868A)
Enumeration Date
2013-05-29
Last Update Date
2013-05-29
Business Address
-- CATHY C BLACK OTR
3400 STOCKER DR
EVANSVILLE, IN 47720-6142
Phone number: 812-602-2919
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Mailing Address
-- CATHY C BLACK OTR
5603 SAINT CHARLES DR
MOUNT VERNON, IN 47620-8324
Phone number:
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