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Individual

MR. TOM L WHITE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
EMT-I

Contact information

Practice address
4130 W TEXAS ST, CARLSBAD, NM 88220-2844
(505) 885-1952
(505) 885-0188
Mailing address
PO BOX 182, CARLSBAD, NM 88221-0182

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
00015322
NM

Other

Enumeration date
07/19/2005
Last updated
07/08/2007
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