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Individual
DELIA SMITH
Active
Individual
DELIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023046993
MO
111N00000X
Chiropractor
7117
MN
2255A2300X
Athletic Trainer
2020009473
MO
2255A2300X
Athletic Trainer
3692
MN
Other
Enumeration date
09/01/2018
Last updated
12/13/2023
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