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1609135615
JONATHON W WHITE
CARBONDALE, IL
NPI
1609135615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125060525)
Enumeration Date
2012-05-10
Last Update Date
2015-02-06
Business Address
-- JONATHON W WHITE Do
305 W JACKSON ST SUITE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
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Mailing Address
-- JONATHON W WHITE Do
301 S ORANGE ST
JONESBORO, IL 62952-1104
Phone number: 618-833-1691
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