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1861988628
JEFFREY WHITE
SAN DIEGO, CA
NPI
1861988628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2018-07-05
Last Update Date
2018-07-05
Business Address
JEFFREY WHITE IDC
3401 FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: 775-217-3327
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Mailing Address
JEFFREY WHITE IDC
3401 FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: 775-217-3327
Copy
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