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Individual

CHRISTOPHER JASON WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1230 W HARDING AVE, COOLIDGE, AZ 85128-9291
(520) 560-2770
Mailing address
2126 W CAMERON BLVD, COOLIDGE, AZ 85128-3280
(520) 560-2770

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
376G00000X
Nursing Home Administrator

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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