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1083906176
ROY DANIEL SMITH
COLTON, CA
NPI
1083906176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 768176)
Enumeration Date
2011-05-06
Last Update Date
2011-05-06
Business Address
-- ROY DANIEL SMITH
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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Mailing Address
-- ROY DANIEL SMITH
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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