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Individual
CLINTON R. SMITH
Active
Individual
CLINTON R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A117121
IA
Other
Enumeration date
01/25/2012
Last updated
03/04/2021
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