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Mason White
Student in an Organized Health Care Education/Training Program in Lake City, Minnesota
NPI 1154021525

Mason White is a Student in an Organized Health Care Education/Training Program based in Lake City, MN. Mason White practices in Lake City, MN. The NPI Number for Mason White is 1154021525 and holds a License No. (Minnesota).

The current practice location address for Mason White is 72374 327Th Ave, Lake City, MN and can be reached out via phone at 651-448-0124.

Location: 72374 327Th Ave, Lake City, MN, 55041-3002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154021525
Provider Name
Mason White
Credential
Provider Entity Type
Individual
Gender
Male
Address
72374 327Th Ave, Lake City, MN, 55041-3002
Phone Number
651-448-0124
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
72374 327Th Ave
City
Lake City
State
Minnesota
Zip
55041-3002
Phone Number
651-448-0124
Fax Number
person
Provider Business Mailing Address Details
Address
72374 327Th Ave
City
Lake City
State
Minnesota
Zip
55041-3002
Phone Number
651-448-0124
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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