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Individual

MRS. EMILY KAY BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
706 W CENTER ST, DUNCANVILLE, TX 75116-4568
(972) 780-0707
Mailing address
706 W CENTER ST, DUNCANVILLE, TX 75116-4568
(972) 780-0707

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
09/11/2014
Last updated
09/11/2014
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