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1023680030
SPENCER SMODISH
SHREVEPORT, LA
NPI
1023680030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-07-11
Last Update Date
2021-07-11
Business Address
SPENCER SMODISH DO
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-1036
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Mailing Address
SPENCER SMODISH DO
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-1036
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