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1558895086
DANIEL RICHARD SMITH
CREVE COEUR, MO
NPI
1558895086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-04-11
Last Update Date
2020-04-29
Business Address
DANIEL RICHARD SMITH ATC
633 EMERSON RD STE 20
CREVE COEUR, MO 63141-6739
Phone number: 314-325-3068
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Mailing Address
DANIEL RICHARD SMITH ATC
387 AUTUMN CREEK DR APT H
MANCHESTER, MO 63088-2402
Phone number: 636-432-2216
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