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1528660883
KRISTEN SMITH
SANTA ROSA, CA
NPI
1528660883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA 00112285)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
KRISTEN SMITH
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 865-604-7789
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Mailing Address
KRISTEN SMITH
8512 SAN MARCOS DR
KNOXVILLE, TN 37938-2037
Phone number:
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