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1558564641
JEFFERY RANDALL WHITE
WACO, TX
NPI
1558564641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: TX P2932)
Enumeration Date
2007-06-07
Last Update Date
2013-08-19
Business Address
-- JEFFERY RANDALL WHITE M.D.
6901 MEDICAL PKWY RADIOLOGY DEPARTMENT
WACO, TX 76712-7910
Phone number: 254-751-4299
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Mailing Address
-- JEFFERY RANDALL WHITE M.D.
4777 US HIGHWAY 259
LONGVIEW, TX 75605-7668
Phone number: 903-663-7393
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