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1982092847
NATASHA BLACK
SUMMERVILLE, SC
NPI
1982092847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC P34076)
Enumeration Date
2014-12-30
Last Update Date
2014-12-30
Business Address
-- NATASHA BLACK
407 BOONE HILL RD
SUMMERVILLE, SC 29483-3501
Phone number: 843-592-9145
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Mailing Address
-- NATASHA BLACK
73 MESSENGER LN
KINGSTREE, SC 29556-5576
Phone number: 843-592-9145
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