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MRS. CATHERINE BLACK

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1669844817

Individual Registrant:
MRS. CATHERINE  BLACK 
Gender: F
Sole Proprietor

Location and contact information for practice:
275 MAIN ST UNIT G-001  EDWARDS, CO 81632-7806 US
Tel: 970-306-6730  Fax: --

Contact information for business:
PO BOX 1540  GYPSUM, CO 81637-1540 US
Tel: 970-306-6730  Fax: --

Registration Information:
NPI: 1669844817
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CO0002143

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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