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1679189831
MITA WHITE
GRAND JUNCTION, CO
NPI
1679189831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.007391)
Enumeration Date
2020-09-22
Last Update Date
2022-08-31
Business Address
MITA WHITE
2596 F RD
GRAND JUNCTION, CO 81505-1443
Phone number: 970-254-3180
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Mailing Address
MITA WHITE
PO BOX 1687
GRAND JUNCTION, CO 81502-1687
Phone number: 970-254-3180
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