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1508083189
KELLY WAYNE SMITH
COOS BAY, OR
NPI
1508083189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 200740846RN)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
-- KELLY WAYNE SMITH NP FNP-PP
BAY CLINIC, LLP 1750 THOMPSON RD
COOS BAY, OR 97420
Phone number: 541-269-0333
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Mailing Address
-- KELLY WAYNE SMITH NP FNP-PP
BAY CLINIC, LLP 1750 THOMPSON RD
COOS BAY, OR 97420
Phone number: 541-269-0333
Copy
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