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1548735079
JACOB VAUGHN WHITE
TRAVERSE CITY, MI
NPI
1548735079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301018202)
Enumeration Date
2018-10-11
Last Update Date
2019-11-05
Business Address
JACOB VAUGHN WHITE Ph.D.
3537 W. FRONT STREET SUITE F
TRAVERSE CITY, MI 49684
Phone number: 231-935-8900
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Mailing Address
JACOB VAUGHN WHITE Ph.D.
3537 W. FRONT STREET SUITE F
TRAVERSE CITY, MI 49684
Phone number: 231-750-7045
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