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1689998320
NATHANAEL S SMITH
ALBUQUERQUE, NM
NPI
1689998320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM 596)
Enumeration Date
2010-03-24
Last Update Date
2017-02-09
Business Address
-- NATHANAEL S SMITH ATC, CSCS
2420 COMANCHE RD NE SUITE G1
ALBUQUERQUE, NM 87107-4753
Phone number: 505-554-2315
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Mailing Address
-- NATHANAEL S SMITH ATC, CSCS
817 DELAMAR AVE NW
ALBUQUERQUE, NM 87107-5121
Phone number: 575-921-3518
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