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1497375661
JOHNTAE SMOOT
DAYTON, OH
NPI
1497375661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-17
Last Update Date
2020-04-17
Business Address
JOHNTAE SMOOT
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-522-0961
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Mailing Address
JOHNTAE SMOOT
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number:
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