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Individual

MR. BARRY ALLAN SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
21401 SE 300TH ST, KENT, WA 98042-5939
(253) 373-4900
Mailing address
17401 SE 262ND ST, COVINGTON, WA 98042-8328
(253) 630-6627

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/05/2006
Last updated
07/08/2007
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