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1114023942
DOUGLAS R SMITH
PRINCETON, WV
NPI
1114023942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV Pending)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- DOUGLAS R SMITH PA
122 12TH STREET EXT
PRINCETON, WV 24740-2352
Phone number: 304-487-7275
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Mailing Address
-- DOUGLAS R SMITH PA
1431 CENTERPOINT BLVD SUITE 100
KNOXVILLE, TN 37932-1984
Phone number:
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