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1942343074
FREDERICK J BLACK
ROSEBURG, OR
NPI
1942343074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD10476)
Enumeration Date
2007-02-15
Last Update Date
2007-10-23
Business Address
-- FREDERICK J BLACK MD
2282 NW TROOST ST SUITE 103
ROSEBURG, OR 97470-6071
Phone number: 541-672-0497
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Mailing Address
-- FREDERICK J BLACK MD
2282 NW TROOST ST SUITE 103
ROSEBURG, OR 97470-6071
Phone number: 541-672-0497
Copy
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