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1548729080
TYRONE SMITH
COACHELLA, CA
NPI
1548729080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95015797)
Enumeration Date
2019-03-14
Last Update Date
2021-12-31
Business Address
TYRONE SMITH
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236-1530
Phone number: 760-393-0555
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Mailing Address
TYRONE SMITH
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236-1530
Phone number: 760-393-0555
Copy
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