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1114118643
BRIAN LEE SMITH
OKLAHOMA CITY, OK
NPI
1114118643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OK 24186)
Enumeration Date
2007-08-08
Last Update Date
2007-08-08
Business Address
-- BRIAN LEE SMITH president
6718 S WESTERN AVE
OKLAHOMA CITY, OK 73139-1807
Phone number: 405-602-1053
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Mailing Address
-- BRIAN LEE SMITH president
6718 S WESTERN AVE
OKLAHOMA CITY, OK 73139-1807
Phone number: 405-602-1053
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