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1376242545
SAMUEL KEEGAN WHITE
SPOKANE, WA
NPI
1376242545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
SAMUEL KEEGAN WHITE
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3131
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Mailing Address
SAMUEL KEEGAN WHITE
928 10TH ST
CHARLESTON, IL 61920-2859
Phone number: 217-264-3182
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