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1356424279
HOLLIS LANE SMITH
FORT BRAGG, NC
NPI
1356424279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
-- HOLLIS LANE SMITH PA
2817 REILLY ROAD MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8922
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Mailing Address
-- HOLLIS LANE SMITH PA
2817 REILLY ROAD MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8922
Copy
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