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1528430501
STEPHEN SMITH
FARMINGTON, NM
NPI
1528430501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA2015-0083)
Enumeration Date
2015-10-29
Last Update Date
2024-11-14
Business Address
STEPHEN SMITH PA-C
2500 FARMINGTON AVE
FARMINGTON, NM 87401-4504
Phone number: 505-609-2860
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Mailing Address
STEPHEN SMITH PA-C
PO BOX 844088
DALLAS, TX 75284-4088
Phone number: 505-609-2258
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