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1508902990
FRED LANIER SMITH
RIALTO, CA
NPI
1508902990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 15942)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
MR. FRED LANIER SMITH
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-421-9200
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Mailing Address
MR. FRED LANIER SMITH
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-421-9200
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