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1063130227
KOLTER LEE SMITH
PHOENIX, AZ
NPI
1063130227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 279313)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
Dr. KOLTER LEE SMITH PMHNP-BD
4107 E WILDWOOD DR
PHOENIX, AZ 85048-8850
Phone number: 928-242-5716
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Mailing Address
Dr. KOLTER LEE SMITH PMHNP-BD
4107 E WILDWOOD DR
PHOENIX, AZ 85048-8850
Phone number: 928-242-5716
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