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1093026650
CRYSTAL SMITH
JACKSON, KY
NPI
1093026650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2010-06-29
Last Update Date
2010-06-29
Business Address
-- CRYSTAL SMITH
202 SYCAMORE ST
JACKSON, KY 41339-1022
Phone number: 606-666-8956
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Mailing Address
-- CRYSTAL SMITH
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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