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Individual

MRS. PHYLLIS ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFTS

Contact information

Practice address
917 W. 13TH STREET, WASHINGTON, NC 27889-3522
(252) 975-1358
(252) 975-1659
Mailing address
917 W. 13TH STREET, WASHINGTON, NC 27889-3522
(252) 975-1358
(252) 975-1659

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
07/22/2009
Last updated
07/22/2009
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