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1922376656
SADIE J BLACKHALL
SALEM, OR
NPI
1922376656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2846-023)
Enumeration Date
2011-12-08
Last Update Date
2020-06-30
Business Address
Mrs. SADIE J BLACKHALL PA-C
875 OAK ST SE STE 4030
SALEM, OR 97301-3984
Phone number: 503-561-6444
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Mailing Address
Mrs. SADIE J BLACKHALL PA-C
875 OAK ST SE STE 4030
SALEM, OR 97301-3984
Phone number: 503-561-6444
Copy
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