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1073592564
RICKY LYNN WHITE
MARTINSBURG, WV
NPI
1073592564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-001492)
Enumeration Date
2006-01-12
Last Update Date
2007-07-16
Business Address
Mr. RICKY LYNN WHITE Physician Assistant
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 304-262-0811
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Mailing Address
Mr. RICKY LYNN WHITE Physician Assistant
510 BUTLER AVE
MARTINSBURG, WV 25405-9990
Phone number: 304-263-0811
Copy
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