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1043330004
CLARENCE G. WHITE
SYRACUSE, NY
NPI
1043330004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NY 282030)
Enumeration Date
2007-03-30
Last Update Date
2018-03-17
Business Address
DR. CLARENCE G. WHITE M.D.
301 PROSPECT AVE CPEP
SYRACUSE, NY 13203-1807
Phone number: 315-726-8610
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Mailing Address
DR. CLARENCE G. WHITE M.D.
301 PROSPECT AVE CPEP
SYRACUSE, NY 13203-1807
Phone number: 315-726-8610
Copy
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