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1841600947
THEODORE ROOSEVELT SMITH
LAS VEGAS, NV
NPI
1841600947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
Mr. THEODORE ROOSEVELT SMITH
3171 S JONES BLVD
LAS VEGAS, NV 89146-6703
Phone number: 702-586-8693
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Mailing Address
Mr. THEODORE ROOSEVELT SMITH
4861 LENNOX BLVD
NEW ORLEANS, LA 70131-8356
Phone number: 504-388-2632
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