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1992983001
TONYA LANETT SMITH
MODESTO, CA
NPI
1992983001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA19549)
Enumeration Date
2008-01-31
Last Update Date
2022-07-21
Business Address
-- TONYA LANETT SMITH PA
1552 COFFEE RD STE 200
MODESTO, CA 95355-3122
Phone number: 209-248-7168
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Mailing Address
-- TONYA LANETT SMITH PA
PO BOX 1750
MANTECA, CA 95336-1153
Phone number: 209-665-8566
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