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1659364180
JAMES RALPH SMITH
CHAMPAIGN, IL
NPI
1659364180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071-003744)
Enumeration Date
2005-08-30
Last Update Date
2012-09-17
Business Address
Dr. JAMES RALPH SMITH Ph.D.
2506 GALEN DR SUITE 103
CHAMPAIGN, IL 61821-7046
Phone number: 217-398-0744
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Mailing Address
Dr. JAMES RALPH SMITH Ph.D.
2506 GALEN DR SUITE 103
CHAMPAIGN, IL 61821-7046
Phone number: 217-398-0744
Copy
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