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1023207875
JONATHAN SMITH
SACRAMENTO, CA
NPI
1023207875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Additional Taxonomies
225000000X Orthotic Fitter
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
-- JONATHAN SMITH CO
1248 32ND ST
SACRAMENTO, CA 95816-5210
Phone number: 916-452-2218
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Mailing Address
-- JONATHAN SMITH CO
1248 32ND ST
SACRAMENTO, CA 95816-5210
Phone number: 916-452-2218
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