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1851944565
GLEN MICHAEL SMITH
BAKER CITY, OR
NPI
1851944565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
Mr. GLEN MICHAEL SMITH
2200 4TH ST
BAKER CITY, OR 97814-2615
Phone number: 541-523-3646
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Mailing Address
Mr. GLEN MICHAEL SMITH
PO BOX 1005
BAKER CITY, OR 97814-1005
Phone number: 541-523-7400
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