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KATINA SMITH

>> Driver >> Other Service Providers

Registrant NPI Number: 1366909301

Individual Registrant:
 KATINA  SMITH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
179 RACE TRACK LN  HAYNEVILLE, AL 36040-2045 US
Tel: 334-300-4176  Fax: --

Contact information for business:
179 RACE TRACK LN  HAYNEVILLE, AL 36040-2045 US
Tel: 334-300-4176  Fax: --

Registration Information:
NPI: 1366909301
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172A00000XOther Service Providers
Driver
AL6350020

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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