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1457764961
BLACK STONE HEALTH PC
CORVALLIS, OR
NPI
1457764961
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Entity Type
Organization
Authorized Contact
MARC MUSSON
Owner
513-658-8605
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2014-06-03
Last Update Date
2016-04-27
Business Address
BLACK STONE HEALTH PC
2358 NW KINGS BLVD SUITE 100
CORVALLIS, OR 97330
Phone number: 541-368-5986
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Mailing Address
BLACK STONE HEALTH PC
2358 NW KINGS BLVD #100
CORVALLIS, OR 97330-3925
Phone number:
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