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1104191196
ADAM WHITE
MARION, OH
NPI
1104191196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50-003484)
Enumeration Date
2012-03-09
Last Update Date
2012-03-13
Business Address
-- ADAM WHITE P.A-C
1000 MCKINLEY PARK DR
MARION, OH 43302-6399
Phone number: 740-383-8700
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Mailing Address
-- ADAM WHITE P.A-C
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone number: 800-875-0136
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