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1124194535
CHARLES JACKSON SMITH
BISMARCK, ND
NPI
1124194535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: ND 9851)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- CHARLES JACKSON SMITH MD
222 N 7TH ST
BISMARCK, ND 58501-4436
Phone number: 701-323-6000
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Mailing Address
-- CHARLES JACKSON SMITH MD
PO BOX 5501
BISMARCK, ND 58506-5501
Phone number: 701-323-6000
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