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1134580079
JOSEPH SMITH
CHICAGO, IL
NPI
1134580079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 123456)
Enumeration Date
2016-03-18
Last Update Date
2024-04-26
Business Address
JOSEPH SMITH PA-C
654 E 84TH ST
CHICAGO, IL 60619-5802
Phone number: 312-927-1276
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Mailing Address
JOSEPH SMITH PA-C
654 E 84TH ST
CHICAGO, IL 60619-5802
Phone number: 312-927-1276
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