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1629312509
SAMUEL SMITH
NORTH LAS VEGAS, NV
NPI
1629312509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
-- SAMUEL SMITH
1946 ONA MARIE AVE
NORTH LAS VEGAS, NV 89032-4867
Phone number: 585-201-4567
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Mailing Address
-- SAMUEL SMITH
1946 ONA MARIE AVENUE
LAS VEGAS, NV 89106
Phone number: 585-201-4567
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