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1033420617
CARLOS WHITE
JACKSON, KY
NPI
1033420617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2010-06-29
Last Update Date
2010-06-29
Business Address
-- CARLOS WHITE
3824 HWY. 15 SOUTH
JACKSON, KY 41339
Phone number: 606-666-9786
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Mailing Address
-- CARLOS WHITE
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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