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1548595473
ZACK WESLEY SMITH
WICHITA FALLS, TX
NPI
1548595473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 403749)
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
Mr. ZACK WESLEY SMITH OTA
1005 MIDWESTERN PKWY
WICHITA FALLS, TX 76302-2211
Phone number: 940-322-0771
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Mailing Address
Mr. ZACK WESLEY SMITH OTA
12066 NE KEENEY RD
ELGIN, OK 73538-3761
Phone number: 940-322-0771
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