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1225029804
ELLEN MEG SMITH
INDIO, CA
NPI
1225029804
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Other Name
ELLEN ESPARZA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A6168)
Enumeration Date
2005-11-02
Last Update Date
2015-03-30
Business Address
-- ELLEN MEG SMITH D.O.
81767 DR CARREON BLVD STE 201
INDIO, CA 92201-5599
Phone number: 760-625-0569
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Mailing Address
-- ELLEN MEG SMITH D.O.
14202 CRYSTAL VIEW TER
RIVERSIDE, CA 92508-8707
Phone number: 951-907-4539
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