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1174058507
LISA M SMITH
LAFAYETTE, IN
NPI
1174058507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: IN 155400)
Enumeration Date
2017-04-24
Last Update Date
2017-04-24
Business Address
-- LISA M SMITH CST
1411 S CREASY LN SUITE 120
LAFAYETTE, IN 47905-7438
Phone number: 765-447-4165
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Mailing Address
-- LISA M SMITH CST
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-446-5417
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