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1659959039
SHANE WESLEY WHITE
LEXINGTON, KY
NPI
1659959039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
SHANE WESLEY WHITE
740 SOUTH LIMESTONE E300E
LEXINGTON, KY 40536-0001
Phone number: 859-257-5097
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Mailing Address
SHANE WESLEY WHITE
740 SOUTH LIMESTONE E300E
LEXINGTON, KY 40536-0001
Phone number: 859-257-5097
Copy
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