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1992487623
GERMAINE VAUDALE SMITH
TULSA, OK
NPI
1992487623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374K00000X Religious Nonmedical Practitioner
(Licence: 69708)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
GERMAINE VAUDALE SMITH B.C.C
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-3131
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Mailing Address
GERMAINE VAUDALE SMITH B.C.C
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-3131
Copy
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