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1699082636
WILLARD WHITE
LAS VEGAS, NV
NPI
1699082636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
MR. WILLARD WHITE
4760 S PECOS RD
LAS VEGAS, NV 89121-5828
Phone number: 702-966-6570
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Mailing Address
MR. WILLARD WHITE
4760 S PECOS RD
LAS VEGAS, NV 89121-5828
Phone number: 702-966-6570
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