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1528509635
TIMOTHY SMITH
COLUMBUS, GA
NPI
1528509635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: GA 4025)
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
-- TIMOTHY SMITH C.O.
5510 VETERANS PKWY
COLUMBUS, GA 31904-4491
Phone number: 706-323-3461
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Mailing Address
-- TIMOTHY SMITH C.O.
5510 VETERANS PKWY
COLUMBUS, GA 31904-4491
Phone number: 706-323-3461
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