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1023524196
CASEY JOE SMITH
RICHMOND, IN
NPI
1023524196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007972A)
Enumeration Date
2017-12-27
Last Update Date
2019-11-20
Business Address
CASEY JOE SMITH FNPc
498 NW 18TH ST STE D
RICHMOND, IN 47374-2851
Phone number: 765-373-8704
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Mailing Address
CASEY JOE SMITH FNPc
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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