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Individual

MS. SUSAN IRENE BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP, CNM

Contact information

Practice address
1224 E LOWELL ST, BLDG 95, TUCSON, AZ 85721-0095
(520) 621-4801
(520) 626-5736
Mailing address
4520 E GLENN ST, TUCSON, AZ 85712-1606
(520) 795-3480

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN039229
AZ

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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