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1245655968
JERRY RAY WHITE
ASHLAND, KY
NPI
1245655968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: KY TP372)
Enumeration Date
2014-03-04
Last Update Date
2021-03-25
Business Address
JERRY RAY WHITE
613 23RD ST STE 230
ASHLAND, KY 41101-2868
Phone number: 606-324-4745
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Mailing Address
JERRY RAY WHITE
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number: 606-408-9571
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