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1114082401
STEFAN RICHARD BLACK
BELLEVUE, WA
NPI
1114082401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH00034220)
Enumeration Date
2006-12-27
Last Update Date
2012-05-11
Business Address
Dr. STEFAN RICHARD BLACK DC
15100 SE 38TH ST 305B
BELLEVUE, WA 98006
Phone number: 425-289-0092
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Mailing Address
Dr. STEFAN RICHARD BLACK DC
15100 SE 38TH ST 305B
BELLEVUE, WA 98006
Phone number: 425-289-0092
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