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1407404205
DEIDRA WHITE
PLAINVIEW, NY
NPI
1407404205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
DEIDRA WHITE
74 VIRGINIA AVE
PLAINVIEW, NY 11803-3520
Phone number: 516-816-5745
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Mailing Address
DEIDRA WHITE
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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