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1265635957
TOMMIE S SMITH
CARBONDALE, IL
NPI
1265635957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-002322)
Enumeration Date
2007-06-08
Last Update Date
2020-11-02
Business Address
TOMMIE S SMITH PA-C
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
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Mailing Address
TOMMIE S SMITH PA-C
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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