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Individual
JULIA L BLACK
Active
Individual
JULIA L BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO-05227
IA
207Q00000X
Family Medicine Physician
R10715
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2258
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
94-10056
KS
207QS0010X
Sports Medicine (Family Medicine) Physician
DO-05227
IA
Other
Enumeration date
07/06/2016
Last updated
06/23/2022
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