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1871998716
KEVIN MICHAEL SMITH
NEWPORT BEACH, CA
NPI
1871998716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 41801)
Enumeration Date
2014-11-04
Last Update Date
2014-11-04
Business Address
-- KEVIN MICHAEL SMITH
15 CORPORATE PLAZA DR STE 130
NEWPORT BEACH, CA 92660-7940
Phone number: 949-759-1840
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Mailing Address
-- KEVIN MICHAEL SMITH
5151 DARTMOUTH AVE
WESTMINSTER, CA 92683-2744
Phone number: 949-322-1488
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