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Individual

MS. SHEILA RENEE COOPER SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10505 S IH 35, APT 2221, AUSTIN, TX 78747-2656
(512) 520-5319
Mailing address
10505 S IH 35, APT 2221, AUSTIN, TX 78747-2656
(512) 520-5319

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
33510561
TX

Other

Enumeration date
05/09/2011
Last updated
05/09/2011
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