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1750947602
NATHANIEL LAMAR SMITH
SAN BERNARDINO, CA
NPI
1750947602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
NATHANIEL LAMAR SMITH
431 MACKAY DR
SAN BERNARDINO, CA 92408-3222
Phone number: 909-433-9300
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Mailing Address
NATHANIEL LAMAR SMITH
431 MACKAY DR # 100
SAN BERNARDINO, CA 92408-3222
Phone number: 909-433-9300
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