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1144878059
SAMUEL DENNISON SMITH
KLAMATH FALLS, OR
NPI
1144878059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1205273)
Enumeration Date
2019-09-04
Last Update Date
2023-10-09
Business Address
SAMUEL DENNISON SMITH PAC, ATC
2200 BRYANT WILLIAMS DR
KLAMATH FALLS, OR 97601-1120
Phone number: 541-884-7746
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Mailing Address
SAMUEL DENNISON SMITH PAC, ATC
877 QUARRY RD
MIDDLEBURY, VT 05753-8441
Phone number: 802-349-2194
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