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1770799678
JEAN ELIN BLACK-GROULX
PORTLAND, OR
NPI
1770799678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 0857)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- JEAN ELIN BLACK-GROULX P.T.
2701 NW VAUGHN ST SUITE 140
PORTLAND, OR 97210-5311
Phone number: 503-499-5262
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Mailing Address
-- JEAN ELIN BLACK-GROULX P.T.
409 NE 126TH AVE
PORTLAND, OR 97230-2406
Phone number: 503-312-8794
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