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1538137112
JEFFREY B BLACK
STANWOOD, WA
NPI
1538137112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA 33020)
Enumeration Date
2006-03-09
Last Update Date
2016-12-09
Business Address
-- JEFFREY B BLACK MD
7205 265TH ST NW
STANWOOD, WA 98292-6221
Phone number: 360-629-1505
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Mailing Address
-- JEFFREY B BLACK MD
PO BOX 5127
EVERETT, WA 98206-5127
Phone number:
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