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1417715368
BILLY BLAKE WHITE
LAKELAND, FL
NPI
1417715368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
243U00000X Radiology Practitioner Assistant
(Licence: FL RA63)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
Mr. BILLY BLAKE WHITE RA (Radiologist Ass)
1305 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4542
Phone number: 863-688-2334
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Mailing Address
Mr. BILLY BLAKE WHITE RA (Radiologist Ass)
412 BAYOU RD
WINTER HAVEN, FL 33884-2507
Phone number: 863-651-7255
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