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1528264207
MARY ELLEN BLACK
CORVALLIS, OR
NPI
1528264207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR MD25360)
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
Dr. MARY ELLEN BLACK M.D.
3509 NW SAMARITAN DR
CORVALLIS, OR 97330-3766
Phone number: 541-768-5235
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Mailing Address
Dr. MARY ELLEN BLACK M.D.
3509 NW SAMARITAN DR
CORVALLIS, OR 97330-3766
Phone number: 541-768-5235
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