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Individual
KHANDICE SMITH
Active
Individual
KHANDICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
NULL
225000000X
Orthotic Fitter
—
NULL
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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