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1750400719
RODERICK LEWIS WHITE
LONG BEACH, CA
NPI
1750400719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-28
Last Update Date
2010-05-21
Business Address
-- RODERICK LEWIS WHITE
2025 E 7TH ST
LONG BEACH, CA 90804-4590
Phone number: 562-284-0108
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Mailing Address
-- RODERICK LEWIS WHITE
1359 W 69TH ST
LOS ANGELES, CA 90044-2534
Phone number:
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