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1356953160
RYNE MICHAEL SMITH
BATON ROUGE, LA
NPI
1356953160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA 212286)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
RYNE MICHAEL SMITH
4124 LAKE LIMESTONE CT
BATON ROUGE, LA 70816-6409
Phone number: 225-241-0133
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Mailing Address
RYNE MICHAEL SMITH
4124 LAKE LIMESTONE CT
BATON ROUGE, LA 70816-6409
Phone number: 225-241-0133
Copy
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