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Individual

MR. ALLAN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMRP

Contact information

Practice address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
(815) 233-6167
Mailing address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
(815) 233-6167

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/17/2009
Last updated
06/17/2009
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