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1083908891
CHARLES SMOOT
JBSA FT SAM HOUSTON, TX
NPI
1083908891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2011-06-09
Last Update Date
2020-05-21
Business Address
CHARLES SMOOT DO
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-2412
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Mailing Address
CHARLES SMOOT DO
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-2412
Copy
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