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1346527330
TIM M SMITH
SHREVEPORT, LA
NPI
1346527330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
(Licence: LA CEP.CE0198)
Enumeration Date
2011-11-04
Last Update Date
2011-11-04
Business Address
Mr. TIM M SMITH
3200 GREENWOOD RD.
SHREVEPORT, LA 71103
Phone number: 318-212-4450
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Mailing Address
Mr. TIM M SMITH
408 WEAVERS WAY
BOSSIER CITY, LA 71111-2097
Phone number: 318-617-6523
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