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1386477594
JOHNATHAN KENNETH SMITH
EL PASO, TX
NPI
1386477594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2024-08-22
Last Update Date
2024-09-16
Business Address
JOHNATHAN KENNETH SMITH
11213 CAMPESTRE LN APT A
EL PASO, TX 79936-5241
Phone number: 329-204-9644
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Mailing Address
JOHNATHAN KENNETH SMITH
11213 CAMPESTRE LN APT A
EL PASO, TX 79936-5241
Phone number:
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