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Individual

MR. JEFFERY WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1560 HOLLOWAY RD UNIT A, HOLLAND, OH 43528-7509
(419) 277-0487
(419) 865-3204
Mailing address
PO BOX 272, HOLLAND, OH 43528-0272
(419) 277-0487
(419) 865-3204

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
11/16/2020
Last updated
11/16/2020
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