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1396447413
LANE SMITH
FORT WORTH, TX
NPI
1396447413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
LANE SMITH
900 8TH AVE
FORT WORTH, TX 76104-3902
Phone number: 817-735-2549
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Mailing Address
LANE SMITH
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107-2644
Phone number: 817-735-2498
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