THOMAS A BLACK

ROSEBURG, OR
NPI1861364754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2025-09-19
Last Update Date2025-09-19
Business Address
THOMAS A BLACK
405 PONY LN
ROSEBURG, OR 97471-9775
Phone number: 503-333-7230
Mailing Address
THOMAS A BLACK
405 PONY LN
ROSEBURG, OR 97471-9775
Phone number: 503-333-7230
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