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1114600988
ETHAN STUART SMITH
KLAMATH FALLS, OR
NPI
1114600988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
ETHAN STUART SMITH
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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Mailing Address
ETHAN STUART SMITH
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Copy
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