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Individual
CHARLES SMITH
Active
Individual
CHARLES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1213
HI
111NR0400X
Rehabilitation Chiropractor
346128-1202
UT
225700000X
Massage Therapist
MAT-17235
HI
Other
Enumeration date
03/07/2007
Last updated
10/12/2022
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