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Randy White, PROVIDER

NPI 1730300906 · on the registry since 2007 · sole proprietor

Practice

Address
212 West Third Streeet
212 West Third Street
Bainbridge, OH 45612
Phone
(740) 634-2495

Registry record

Primary taxonomy
302F00000X
302F00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio