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Sandra Black
NPI 1821898115 · on the registry since 2025
Practice
- Address
- 113 Goldengate Dr
Centerville, OH 45459 - Phone
- (937) 225-1481
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 372600000X
3747P1801X
172A00000X - Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio