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1245672146
AMANDA DAWN SMALLEY
COLUMBUS, OH
NPI
1245672146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: OH rw562602)
Enumeration Date
2013-07-22
Last Update Date
2013-07-22
Business Address
-- AMANDA DAWN SMALLEY
3210 E 5TH AVE
COLUMBUS, OH 43219-2806
Phone number: 614-886-4818
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Mailing Address
-- AMANDA DAWN SMALLEY
3210 E 5TH AVE
COLUMBUS, OH 43219-2806
Phone number: 614-886-4818
Copy
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