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1730671207
MICHAEL CARL SMITH
PHOENIX, AZ
NPI
1730671207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: AZ AL0281H)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
MICHAEL CARL SMITH
5736 N 33RD AVE
PHOENIX, AZ 85017
Phone number: 602-841-9766
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Mailing Address
MICHAEL CARL SMITH
5736 N 33RD AVE
PHOENIX, AZ 85017-1905
Phone number: 602-841-9766
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