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1457743817
DIWAINE SMITH
LONG BEACH, CA
NPI
1457743817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-02-23
Last Update Date
2015-02-23
Business Address
-- DIWAINE SMITH
2241 W WILLIAMS ST
LONG BEACH, CA 90810-3652
Phone number: 562-388-8183
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Mailing Address
-- DIWAINE SMITH
2241 W WILLIAMS ST
LONG BEACH, CA 90810-3652
Phone number: 562-388-8183
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