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1114791878
GARRETT ANTHONY SMITH
SAN DIEGO, CA
NPI
1114791878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
GARRETT ANTHONY SMITH IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
GARRETT ANTHONY SMITH IDC
716 WEICH LN
VIRGINIA BEACH, VA 23455-5839
Phone number: 210-218-7235
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