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1972114551
CHELSEA R BLACK
AUBURN, IL
NPI
1972114551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 02015698)
Enumeration Date
2020-08-16
Last Update Date
2020-08-16
Business Address
CHELSEA R BLACK RDH
428 N 8TH ST
AUBURN, IL 62615-1006
Phone number: 217-741-8136
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Mailing Address
CHELSEA R BLACK RDH
428 N 8TH ST
AUBURN, IL 62615-1006
Phone number:
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