JASON LANTZ WHITE

MOODY A F B, GA
NPI1689946071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2012-02-01
Last Update Date2012-02-01
Business Address
-- JASON LANTZ WHITE IDMT
3280 MITCHELL BLVD
MOODY A F B, GA 31699-1500
Phone number: 229-257-2105
Mailing Address
-- JASON LANTZ WHITE IDMT
3807 ROBIN LN
VALDOSTA, GA 31605-5124
Phone number: 229-560-1598
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