MASON GRANDVILLE SMITH

PORT HURON, MI
NPI1689209801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-03-09
Last Update Date2020-03-09
Business Address
Mr. MASON GRANDVILLE SMITH
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-966-3566
Mailing Address
Mr. MASON GRANDVILLE SMITH
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-966-3566
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