Usually means: Standard Metropolitan Statistical Area designation.
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We found 15 dictionaries that define the word SMSA:

General (9 matching dictionaries)
  1. SMSA, SMSA: Merriam-Webster
  2. SMSA: Oxford Learner's Dictionaries
  3. SMSA: American Heritage Dictionary of the English Language
  4. SMSA: Wiktionary
  5. SMSA: Infoplease Dictionary
  6. SMSA: Dictionary.com
  7. SMSA: Wikipedia, the Free Encyclopedia
  8. SMSA: Stammtisch Beau Fleuve Acronyms
  9. SMSA: TheFreeDictionary.com

Business (3 matching dictionaries)
  1. SMSA: Glossary of research economics
  2. SMSA: Financial dictionary
  3. Glossary of Trade and Shipping Terms (No longer online)

Miscellaneous (2 matching dictionaries)
  1. SMSA: Acronym Finder
  2. AbbreviationZ (No longer online)

Tech (1 matching dictionary)
  1. SMSA: GEOGRAPHIC INFORMATION SYSTEMS, CARTOGRAPHY, AND REMOTE SENSING

Definitions from Wiktionary (SMSA)

noun:  Standard Metropolitan Statistical Area, a US Census concept known since 1960 as Metropolitan Statistical Area (MSA)

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