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1518244276
CHARLES G. SMITH
PONCA CITY, OK
NPI
1518244276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: OK 541)
Enumeration Date
2011-11-09
Last Update Date
2012-01-19
Business Address
Mr. CHARLES G. SMITH BC-HIS
1209 N 7TH ST
PONCA CITY, OK 74601-2843
Phone number: 580-767-1961
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Mailing Address
Mr. CHARLES G. SMITH BC-HIS
1209 N 7TH ST
PONCA CITY, OK 74601-2843
Phone number: 580-767-1961
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