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1609226422
CHESTER CORY SMITH
LAFAYETTE, LA
NPI
1609226422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MS 901546)
Enumeration Date
2016-06-14
Last Update Date
2019-05-06
Business Address
CHESTER CORY SMITH PhD, NP-C
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-408-0815
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Mailing Address
CHESTER CORY SMITH PhD, NP-C
1340 BROAD AVE STE 300A
GULFPORT, MS 39501-2404
Phone number: 228-575-2700
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