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1164901120
IAN M SMITH
CARO, MI
NPI
1164901120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502005601)
Enumeration Date
2018-08-10
Last Update Date
2018-08-10
Business Address
IAN M SMITH PTA
1525 W CARO RD
CARO, MI 48723-9686
Phone number: 989-672-0866
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Mailing Address
IAN M SMITH PTA
4433 ALTADENA DR
BAY CITY, MI 48706-2513
Phone number: 989-992-9660
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