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1255575577
STUART SCOTT SMITH
TINKER AFB, OK
NPI
1255575577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-04-30
Last Update Date
2009-04-30
Business Address
Mr. STUART SCOTT SMITH IDMT
5700 ARNOLD ST
TINKER AFB, OK 73145-8105
Phone number: 405-734-2678
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Mailing Address
Mr. STUART SCOTT SMITH IDMT
1400 N MIDWEST BLVD APT G
MIDWEST CITY, OK 73110-3235
Phone number: 405-887-6511
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