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1922732304
CAINAN SMITH
STATESBORO, GA
NPI
1922732304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
CAINAN SMITH
1332 SOUTHERN DR
STATESBORO, GA 30460-1360
Phone number: 912-478-4636
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Mailing Address
CAINAN SMITH
208 WAYBILL CIRCLE
STATESBORO, GA 30460-1360
Phone number:
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