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1629052204
TERRY LEE SMITH
CORBIN, KY
NPI
1629052204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: KY SA111)
Enumeration Date
2005-12-06
Last Update Date
2013-09-09
Business Address
-- TERRY LEE SMITH CSA
1 TRILLIUM WAY
CORBIN, KY 40701-8727
Phone number: 606-528-1212
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Mailing Address
-- TERRY LEE SMITH CSA
1 TRILLIUM WAY
CORBIN, KY 40701-8727
Phone number: 606-526-8122
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