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Individual

CHANDRA R WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
410 HOLLY DR, ATCO, NJ 08004-2002
(856) 761-6145
Mailing address
410 HOLLY DR, ATCO, NJ 08004-2002
(856) 761-6145

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary

Other

Enumeration date
08/07/2019
Last updated
08/07/2019
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