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1437651452
CHARLES ANTHONY SMITH
ST PETERSBURG, FL
NPI
1437651452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-06
Last Update Date
2018-03-17
Business Address
Mr. CHARLES ANTHONY SMITH
8021 36TH AVE N
ST PETERSBURG, FL 33710-1011
Phone number: 727-458-3212
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Mailing Address
Mr. CHARLES ANTHONY SMITH
8021 36TH AVE N
ST PETERSBURG, FL 33710-1011
Phone number: 727-458-3212
Copy
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