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1508007675
SERENA STAR BLACK
SPRINGFIELD, OR
NPI
1508007675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD154349)
Enumeration Date
2009-03-18
Last Update Date
2011-07-13
Business Address
-- SERENA STAR BLACK MD
3377 RIVERBEND DR
SPRINGFIELD, OR 97477-8803
Phone number: 541-222-8500
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Mailing Address
-- SERENA STAR BLACK MD
PO BOX 24410
EUGENE, OR 97402-0451
Phone number:
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