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1619953973
SHAD JEFFRY SMITH
ROYAL OAK, MI
NPI
1619953973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2005-12-19
Last Update Date
2008-07-20
Business Address
MR. SHAD JEFFRY SMITH ATC
1080 N CAMPBELL RD APT 4
ROYAL OAK, MI 48067-1533
Phone number: 941-527-7301
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Mailing Address
MR. SHAD JEFFRY SMITH ATC
1080 N CAMPBELL RD APT. 4
ROYAL OAK, MI 48067-1533
Phone number: 941-527-7301
Copy
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