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1376612507
TERESA BLACK
GREENBRAE, CA
NPI
1376612507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G65715)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Dr. TERESA BLACK M.D.
250 BON AIR RD
GREENBRAE, CA 94904-1702
Phone number: 415-448-1500
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Mailing Address
Dr. TERESA BLACK M.D.
300 PROFESSIONAL CENTER DR SUITE 311
NOVATO, CA 94947-4334
Phone number: 415-448-1555
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