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1275162406
LUKE SMITH
LEBANON, OR
NPI
1275162406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
LUKE SMITH
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
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Mailing Address
LUKE SMITH
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
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