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1659809028
STEPHEN JEROME SMITH
PHOENIX, AZ
NPI
1659809028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: AZ 67133531)
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
STEPHEN JEROME SMITH EMT-B
1826 W MCDOWELL RD
PHOENIX, AZ 85007-1612
Phone number: 228-273-7752
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Mailing Address
STEPHEN JEROME SMITH EMT-B
6131 N 27TH AVE APT 2011
PHOENIX, AZ 85017-1756
Phone number: 228-273-7752
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