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Individual
ALFRED JOHNNIE WHITE
Active
Individual
ALFRED JOHNNIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/28/2023
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