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1982841128
ALAN D BLACK
FT CAMPBELL, KY
NPI
1982841128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: KY 2040679)
Enumeration Date
2009-01-09
Last Update Date
2009-01-09
Business Address
Mr. ALAN D BLACK
650 JOEL DRIVE BACH-YEC
FT CAMPBELL, KY 42223
Phone number: 270-798-8258
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Mailing Address
Mr. ALAN D BLACK
650 JOEL DRIVE BACH-YEC
FT CAMPBELL, KY 42223
Phone number: 270-798-8258
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