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1073869418
JERRELL F SMITH
FORT SAM HOUSTON, TX
NPI
1073869418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IA 001342)
Enumeration Date
2012-08-02
Last Update Date
2017-03-20
Business Address
Mr. JERRELL F SMITH Ph.D.
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234-6200
Phone number: 210-916-2460
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Mailing Address
Mr. JERRELL F SMITH Ph.D.
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234-6200
Phone number:
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