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1548408669
ANDREW P BLACK
ONTARIO, OR
NPI
1548408669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: UT 7429863-0501)
Enumeration Date
2009-01-27
Last Update Date
2011-04-21
Business Address
Dr. ANDREW P BLACK DPM
1050 SW 3RD AVE STE 400
ONTARIO, OR 97914-2197
Phone number: 541-881-1319
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Mailing Address
Dr. ANDREW P BLACK DPM
1050 SW 3RD AVE STE 400
ONTARIO, OR 97914-2197
Phone number: 541-881-1319
Copy
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PODIATRY CARE CENTER OF ONTARIO, LLC