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1104006592
RAYMOND SHANE SMITH
JOHNSON CITY, TN
NPI
1104006592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 2338)
Enumeration Date
2007-11-14
Last Update Date
2017-02-23
Business Address
RAYMOND SHANE SMITH PA-C
410 N STATE OF FRANKLIN RD SUITE 130
JOHNSON CITY, TN 37604-6971
Phone number: 423-431-2477
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Mailing Address
RAYMOND SHANE SMITH PA-C
410 N STATE OF FRANKLIN RD SUITE 130
JOHNSON CITY, TN 37604-6971
Phone number: 423-431-2477
Copy
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