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Individual

MR. SAMMY L WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.A.D.&F.

Contact information

Practice address
408 S JEFFERS ST, NORTH PLATTE, NE 69101-5350
(308) 532-5114
(308) 532-1996
Mailing address
408 S JEFFERS ST, NORTH PLATTE, NE 69101-5350
(308) 532-5114
(308) 532-1996

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
220
NE

Other

Enumeration date
07/20/2008
Last updated
07/20/2008
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