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1770633356
MICHAEL SMITH
BOWLING GREEN, KY
NPI
1770633356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: KY SA092)
Enumeration Date
2007-01-12
Last Update Date
2014-08-21
Business Address
Mr. MICHAEL SMITH KCSA
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-781-4828
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Mailing Address
Mr. MICHAEL SMITH KCSA
1945 SCOTTSVILLE RD STE B2 PMB 397
BOWLING GREEN, KY 42104-5836
Phone number: 270-781-4828
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