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1578120796
KEVAN SMITH
MEMPHIS, TN
NPI
1578120796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 3551)
Enumeration Date
2019-05-22
Last Update Date
2019-10-30
Business Address
KEVAN SMITH
1245 MADISON AVE
MEMPHIS, TN 38104-2211
Phone number: 901-722-3200
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Mailing Address
KEVAN SMITH
6989 ISLAND RD
CICERO, NY 13039-9761
Phone number: 315-436-7613
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