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1982722575
JAMES EDWIN BLACK
SISSONVILLE, WV
NPI
1982722575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV P.T.2477)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Mr. JAMES EDWIN BLACK Physical Therapist
302 CEDAR RIDGE RD
SISSONVILLE, WV 25320-9502
Phone number: 304-984-0046
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Mailing Address
Mr. JAMES EDWIN BLACK Physical Therapist
PO BOX 4065
CHARLESTON, WV 25364-4065
Phone number: 304-553-2502
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