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1295212959
DAVID KEVIN SMITH
PORT RICHEY, FL
NPI
1295212959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: FL DO5926)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
DAVID KEVIN SMITH LDO
10041 US HIGHWAY 19
PORT RICHEY, FL 34668-3785
Phone number: 727-848-0870
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Mailing Address
DAVID KEVIN SMITH LDO
4359 35TH ST N
ST PETERSBURG, FL 33714-3717
Phone number: 727-914-8615
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