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1992747026
JASON LORIS SMITH
VANCOUVER, WA
NPI
1992747026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00003385)
Enumeration Date
2006-06-12
Last Update Date
2012-09-18
Business Address
Mr. JASON LORIS SMITH CCC-SLP
3019 NE 140TH AVE
VANCOUVER, WA 98682-8102
Phone number: 360-747-7298
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Mailing Address
Mr. JASON LORIS SMITH CCC-SLP
3019 NE 140TH AVE
VANCOUVER, WA 98682-8102
Phone number: 360-747-7298
Copy
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