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1760194369
STEPHANIE ROSE SMITH
CLOVIS, NM
NPI
1760194369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 122620)
Enumeration Date
2022-12-15
Last Update Date
2023-07-22
Business Address
STEPHANIE ROSE SMITH OTR/L
3009 N PRINCE ST # 46
CLOVIS, NM 88101-3842
Phone number: 217-415-0855
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Mailing Address
STEPHANIE ROSE SMITH OTR/L
4969 BIG SKY RD
FORT SUMNER, NM 88119-9120
Phone number: 806-543-6920
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