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1285931741
JOSHUA ROMAN SMITH
SAN DIEGO, CA
NPI
1285931741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-02-18
Last Update Date
2011-02-18
Business Address
Mr. JOSHUA ROMAN SMITH IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-6233
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Mailing Address
Mr. JOSHUA ROMAN SMITH IDC
7 LARSON ST
PROCTOR, VT 05765-1306
Phone number: 850-625-8717
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