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1730443342
TERRY DEWAYNE WHITE
HOT SPRINGS, AR
NPI
1730443342
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Other Name
TJ WHITE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR AT 501)
Enumeration Date
2012-06-28
Last Update Date
2012-06-28
Business Address
MR. TERRY DEWAYNE WHITE MS, ATC
300 PROSPECT AVE
HOT SPRINGS, AR 71901-4003
Phone number: 501-622-3335
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Mailing Address
MR. TERRY DEWAYNE WHITE MS, ATC
100 DISCOVERY BAY LN #22
HOT SPRINGS, AR 71913-2401
Phone number: 501-860-8700
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