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1366907941
JACQUELINE LYNETTE SMITH
SAN ANTONIO, TX
NPI
1366907941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX 216548)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
JACQUELINE LYNETTE SMITH CADDCT DCS COTP GC
9258 CULEBRA RD STE 140
SAN ANTONIO, TX 78251-2877
Phone number: 210-646-8408
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Mailing Address
JACQUELINE LYNETTE SMITH CADDCT DCS COTP GC
PO BOX 17401
SAN ANTONIO, TX 78217-0401
Phone number: 210-646-8408
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