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Individual
MRS. SHARON SMITH
Active
Individual
MRS. SHARON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
MO
376J00000X
Homemaker
Primary
—
MO
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288586100
—
MO
Enumeration date
05/18/2007
Last updated
07/05/2019
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