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1679005698
JONATHAN SMITH
COLUMBUS, OH
NPI
1679005698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA. 160767)
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
-- JONATHAN SMITH
360 GRANT AVE
COLUMBUS, OH 43209
Phone number: 614-439-7266
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Mailing Address
-- JONATHAN SMITH
360 S GRANT AVE
COLUMBUS, OH 43215-5537
Phone number: 614-439-7266
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