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Individual
CONSTANCE A. SMILEY
Active
Individual
CONSTANCE A. SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15771
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080101620
RAILROAD
OK
05
—
100042850B
—
OK
01
—
15771
LICENSE
OK
01
—
20167
OBNDD
OK
Enumeration date
06/30/2006
Last updated
05/21/2014
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