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1194226274
DAVID GEORGE SMITH
SALT LAKE CITY, UT
NPI
1194226274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0855X Clinic/Center, Adolescent and Children Mental Health
Enumeration Date
2018-02-23
Last Update Date
2018-02-23
Business Address
DAVID GEORGE SMITH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-565-6900
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Mailing Address
DAVID GEORGE SMITH
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-565-6900
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