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1790975076
MICHAEL R. SMITH
SAN BERNARDINO, CA
NPI
1790975076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
-- MICHAEL R. SMITH
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146
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Mailing Address
-- MICHAEL R. SMITH
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146
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