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1871895995
A THEODORE SMITH
PUEBLO, CO
NPI
1871895995
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Other Name
TED SMITH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 3118)
Enumeration Date
2010-11-22
Last Update Date
2015-12-29
Business Address
Mr. A THEODORE SMITH PA-C, L.Ac.
1600 WEST 24TH STREET COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO
PUEBLO, CO 81003
Phone number: 719-761-1486
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Mailing Address
Mr. A THEODORE SMITH PA-C, L.Ac.
1600W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4081
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