JASON GREGORY WHITE

SHREVEPORT, LA
NPI1326160037
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN104875)
Enumeration Date2007-04-04
Last Update Date2012-10-11
Business Address
-- JASON GREGORY WHITE CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7737
Mailing Address
-- JASON GREGORY WHITE CRNA
PO BOX 5310
SHREVEPORT, LA 71135-5310
Phone number: 318-675-7737
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