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Individual

ALFONSO LAMAR SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
2000 FORT BRAGG RD STE 4, FAYETTEVILLE, NC 28303-7000
(919) 307-5081
Mailing address
2000 FORT BRAGG RD STE 4, FAYETTEVILLE, NC 28303-7000
(919) 307-5081

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16750
NC

Other

Enumeration date
11/07/2019
Last updated
10/20/2023
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