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1366508285
JEFFERY SMITH
MILWAUKEE, WI
NPI
1366508285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 1980-035)
Enumeration Date
2006-12-28
Last Update Date
2007-07-09
Business Address
-- JEFFERY SMITH OD
5530 N PORT WASHINGTON RD
MILWAUKEE, WI 53217-4920
Phone number: 414-332-1114
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Mailing Address
-- JEFFERY SMITH OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6663
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