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1821351313
SHARLA BLACK
SALEM, OR
NPI
1821351313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
(Licence: OR 4951)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
Ms. SHARLA BLACK BS, LMT
4742 LIBERTY RD S # 189
SALEM, OR 97302-5037
Phone number: 503-428-8279
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Mailing Address
Ms. SHARLA BLACK BS, LMT
4742 LIBERTY RD, #189
SALEM, OR 97302
Phone number: 503-428-8279
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