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1023245560
CHAD MICHAEL SMITH
BOLLING AFB, DC
NPI
1023245560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2009-06-11
Last Update Date
2009-06-11
Business Address
CHAD MICHAEL SMITH IDMT
238 BROOKLEY AVE
BOLLING AFB, DC 20032
Phone number: 202-754-1458
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Mailing Address
CHAD MICHAEL SMITH IDMT
13037 ARLINGTON ST
OMAHA, NE 68164-1643
Phone number: 703-980-3850
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