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1558389833
JOHN M WHITE
SHREVEPORT, LA
NPI
1558389833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA A10390)
Enumeration Date
2006-07-17
Last Update Date
2022-08-12
Business Address
JOHN M WHITE PA-C
3217 MABEL ST
SHREVEPORT, LA 71103
Phone number: 318-631-9121
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Mailing Address
JOHN M WHITE PA-C
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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