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1750817524
STEPHEN WHITE
WINSTON SALEM, NC
NPI
1750817524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC A6261)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
MR. STEPHEN WHITE
5304 QUAIL WOOD DR APT H
WINSTON SALEM, NC 27104-5505
Phone number: 252-706-0785
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Mailing Address
MR. STEPHEN WHITE
5304 QUAIL WOOD DR APT H
WINSTON SALEM, NC 27104-5505
Phone number: 252-706-0785
Copy
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