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Individual

JENNAH BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC., DIPL. OM, MSOM

Contact information

Practice address
3613 JEANNINE DR, COLORADO SPRINGS, CO 80917-8002
(720) 933-6633
Mailing address
PO BOX 26661, COLORADO SPRINGS, CO 80936-6661
(720) 933-6633

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
198.001477
IL
171100000X
Acupuncturist
Primary
ACU.0002749
CO

Other

Enumeration date
07/13/2019
Last updated
06/16/2022
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