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1912350612
LACISHA SMITH
HOLLISTER, CA
NPI
1912350612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
-- LACISHA SMITH
1850 SAN BENITO ST
HOLLISTER, CA 95023-4899
Phone number: 831-636-2121
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Mailing Address
-- LACISHA SMITH
PO BOX 1269
HOLLISTER, CA 95024-1269
Phone number: 831-636-2121
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