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Individual
ROBERT WHITE
Active
Individual
ROBERT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1096
ND
363AM0700X
Medical Physician Assistant
PAC1096
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/25/2024
Last updated
09/13/2024
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