Individual
DEBORA ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-1038
(719) 589-5722
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-1038
(719) 589-5722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
70759
CO
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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