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1376689372
KENNETH ERIC SMOOT
GAINESVILLE, FL
NPI
1376689372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003686)
Enumeration Date
2007-01-29
Last Update Date
2010-03-31
Business Address
-- KENNETH ERIC SMOOT PA
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
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Mailing Address
-- KENNETH ERIC SMOOT PA
1601 SW ARCHER RD.
GAINESVILLE, FL 32608
Phone number: 352-376-1611
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