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1912498858
JESSE STEPHEN WHITE
HENDERSON, NC
NPI
1912498858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A5728)
Enumeration Date
2018-05-26
Last Update Date
2018-05-26
Business Address
Mr. JESSE STEPHEN WHITE PTA
2275 RUIN CREEK RD
HENDERSON, NC 27537-8732
Phone number: 252-492-0066
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Mailing Address
Mr. JESSE STEPHEN WHITE PTA
346 BLACKROCK RD
MERRY HILL, NC 27957-9691
Phone number: 252-325-4535
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