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1851402655
MARTIC SMITH
BOSSIER CITY, LA
NPI
1851402655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA rn082737 ap03943)
Enumeration Date
2006-08-31
Last Update Date
2008-09-23
Business Address
Mr. MARTIC SMITH CRNA
2105 AIRLINE DR
BOSSIER CITY, LA 71111-3105
Phone number: 318-549-2011
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Mailing Address
Mr. MARTIC SMITH CRNA
2701 LONG BRANCH LN
SHREVEPORT, LA 71118-5027
Phone number: 318-572-5474
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