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Individual

LAKENDRA SMALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 W IRVING BLVD, IRVING, TX 75060-2845
(682) 231-0007
Mailing address
4099 MCEWEN RD STE 534, FARMERS BRANCH, TX 75244-5314
(682) 231-0007

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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