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1114128956
CAROLYN ANN SMITH
SAN LUIS OBISPO, CA
NPI
1114128956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA14769)
Enumeration Date
2007-05-30
Last Update Date
2010-09-09
Business Address
-- CAROLYN ANN SMITH P.A.
1551 BISHOP ST 220
SAN LUIS OBISPO, CA 93401-4635
Phone number: 805-541-0668
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Mailing Address
-- CAROLYN ANN SMITH P.A.
101 E REDLANDS BLVD 212
REDLANDS, CA 92373-4775
Phone number: 909-335-8649
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