JASON PAUL WHITE

MOUNT VERNON, IL
NPI1942250287
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-011830)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
-- JASON PAUL WHITE P.T.
602 S 42ND ST
MOUNT VERNON, IL 62864-6264
Phone number: 618-242-1100
Mailing Address
-- JASON PAUL WHITE P.T.
19863 E FAIRFIELD RD
BLUFORD, IL 62814-3817
Phone number: 618-732-8239
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