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1073732681
MICHAEL CHARLES WHITE
SALEM, OR
NPI
1073732681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OR md11684)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- MICHAEL CHARLES WHITE m.d.
3777 COMMERCIAL ST SE
SALEM, OR 97302-3832
Phone number: 503-588-1234
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Mailing Address
-- MICHAEL CHARLES WHITE m.d.
3777 COMMERCIAL ST SE
SALEM, OR 97302-3832
Phone number: 503-588-1234
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