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1669787032
KENNETH MONDRE SMITH
KATY, TX
NPI
1669787032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: TX PA06722)
Enumeration Date
2010-08-10
Last Update Date
2012-10-01
Business Address
MR. KENNETH MONDRE SMITH PHYSICIAN ASSISTANT
24124 CINCO VILLAGE CENTER BLVD SUITE 100
KATY, TX 77494-8396
Phone number: 281-693-5698
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Mailing Address
MR. KENNETH MONDRE SMITH PHYSICIAN ASSISTANT
24124 CINCO VILLAGE CENTER BLVD SUITE 100
KATY, TX 77494-8396
Phone number: 281-693-5698
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