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1518176767
JAZIAH M SMITH
YUCCA VALLEY, CA
NPI
1518176767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-22
Last Update Date
2019-08-20
Business Address
JAZIAH M SMITH
58923 BUSINESS CENTERED DR
YUCCA VALLEY, CA 92284-3117
Phone number: 603-657-2097
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Mailing Address
JAZIAH M SMITH
58923 BUSINESS CENTERED DR
YUCCA VALLEY, CA 92284
Phone number: 760-365-7209
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