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1962016550
WAYNE ANTHONY SMITH
VAN NUYS, CA
NPI
1962016550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
Mr. WAYNE ANTHONY SMITH
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 818-947-2019
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Mailing Address
Mr. WAYNE ANTHONY SMITH
11856 BALBOA BLVD # 210
GRANADA HILLS, CA 91344-2753
Phone number: 818-852-5520
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