STEPHANIE LEE SMITH

HATTIESBURG, MS
NPI1699205120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MS  AT0434)
Enumeration Date2017-06-18
Last Update Date2022-07-21
Business Address
STEPHANIE LEE SMITH ATC/L
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-264-5203
Mailing Address
STEPHANIE LEE SMITH ATC/L
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-264-5203
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