Pamela J Black

NPI #1891243622 in Minneapolis, Kansas

Provider Information

NPI Number: 1891243622
Entity Type: Individual
Name: Pamela J Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 903 N 3RD AVE
City: Minneapolis
State: Kansas
ZIP Code: 67467-1705
Phone: (785) 224-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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