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Individual

BETTY KIMBLER SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 VETERANS MEMORIAL HIGHWAY, GATE CITY, VA 24251-2425
(276) 594-2064
(276) 452-1974
Mailing address
PO BOX 1770, GATE CITY, VA 24251-1770
(276) 594-2064
(276) 594-1974

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T65015991
VA

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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