AUSTIN THOMAS SMITH

SAN DIEGO, CA
NPI1245518448
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2011-07-22
Last Update Date2011-07-22
Business Address
AUSTIN THOMAS SMITH IDC
9414 GEMINI AVE
SAN DIEGO, CA 92126-4861
Phone number: 760-812-0946
Mailing Address
AUSTIN THOMAS SMITH IDC
9414 GEMINI AVE
SAN DIEGO, CA 92126-4861
Phone number: 760-812-0946
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