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1770004905
SUSAN SMILEY
PLANO, TX
NPI
1770004905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT1649)
Enumeration Date
2017-06-28
Last Update Date
2018-03-07
Business Address
SUSAN SMILEY LAT
2904 LEMMONTREE LN
PLANO, TX 75074-4756
Phone number: 972-768-1788
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Mailing Address
SUSAN SMILEY LAT
2904 LEMMONTREE LN
PLANO, TX 75074-4756
Phone number:
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