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Individual
MARIAN ELIZABETH SMITH
Active
Individual
MARIAN ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO25261
OR
Other
Enumeration date
08/01/2006
Last updated
11/09/2015
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