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1790725414
RICHARD KEITH SMITHDEAL
MOUTAIN HOME, TN
NPI
1790725414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
226300000X Kinesiotherapist
(Licence: 1374)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
Mr. RICHARD KEITH SMITHDEAL RKT
JAMES QUILLEN VAMC BLD 200 RMS(117)
MOUTAIN HOME, TN 37684
Phone number: 423-926-1171
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Mailing Address
Mr. RICHARD KEITH SMITHDEAL RKT
125 CROCKETT LN
ELIZABETHTON, TN 37643-5967
Phone number: 423-676-7785
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