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1043588213
STACEY RENEE SMITH
CHARLOTTE, NC
NPI
1043588213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH 04582)
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
STACEY RENEE SMITH
309 E MOREHEAD ST SUITE 200
CHARLOTTE, NC 28202-2301
Phone number: 800-299-8132
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Mailing Address
STACEY RENEE SMITH
16225 TIMBERMAN RD NW
MALTA, OH 43758-9132
Phone number: 740-704-6584
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