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1871203612
DOUGLAS ANDREW SMITH
LAKE GROVE, NY
NPI
1871203612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 650226)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
Mr. DOUGLAS ANDREW SMITH RN
6 CODY PL
LAKE GROVE, NY 11755-2506
Phone number: 631-745-3799
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Mailing Address
Mr. DOUGLAS ANDREW SMITH RN
6 CODY PL
LAKE GROVE, NY 11755-2506
Phone number: 631-745-3799
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