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1164655734
JONATHAN LEE SMITH
KINGSPORT, TN
NPI
1164655734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT8024)
Enumeration Date
2009-08-31
Last Update Date
2009-09-23
Business Address
JONATHAN LEE SMITH DPT
105 W STONE DR STE 1D
KINGSPORT, TN 37660-3256
Phone number: 423-578-1560
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Mailing Address
JONATHAN LEE SMITH DPT
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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