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1558689547
GARY LEE SMALLWOOD
SAN DIEGO, CA
NPI
1558689547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-05-14
Last Update Date
2011-03-18
Business Address
-- GARY LEE SMALLWOOD BA
7155 MISSION GORGE RD
SAN DIEGO, CA 92120-1130
Phone number: 858-300-0460
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Mailing Address
-- GARY LEE SMALLWOOD BA
7155 MISSION GORGE RD
SAN DIEGO, CA 92120-1130
Phone number: 858-300-0460
Copy
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