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1447953237
KENNETH ROGER SMITH
ALBUQUERQUE, NM
NPI
1447953237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
KENNETH ROGER SMITH CCSS
2004 VALENCIA DR NE
ALBUQUERQUE, NM 87110-5210
Phone number: 505-398-7843
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Mailing Address
KENNETH ROGER SMITH CCSS
2004 VALENCIA DR NE
ALBUQUERQUE, NM 87110-5210
Phone number: 505-398-7843
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