RUSTON GARRETT SMITH

DURANT, OK
NPI1669146387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-08-05
Last Update Date2021-08-05
Business Address
RUSTON GARRETT SMITH
1405 N 4TH AVE
DURANT, OK 74701-3330
Phone number: 580-745-2829
Mailing Address
RUSTON GARRETT SMITH
3802 W UNIVERSITY BLVD APT 11
DURANT, OK 74701-3019
Phone number: 870-692-1259
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