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1306519541
SAMUEL SMITH
ALBUQUERQUE, NM
NPI
1306519541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
(Licence: COA)
Enumeration Date
2021-07-25
Last Update Date
2021-07-25
Business Address
SAMUEL SMITH COA
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
SAMUEL SMITH COA
13 BACUS AVE APT 9
DURANGO, CO 81301-4161
Phone number: 971-258-4097
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