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1982376521
CARL EDWARD SMITH
DAYTONA BEACH, FL
NPI
1982376521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: FL IND-877173)
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
Mr. CARL EDWARD SMITH CRRA
527 N RIDGEWOOD AVE
DAYTONA BEACH, FL 32114-2107
Phone number: 386-319-6160
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Mailing Address
Mr. CARL EDWARD SMITH CRRA
527 N RIDGEWOOD AVE
DAYTONA BEACH, FL 32114-2107
Phone number: 386-319-6160
Copy
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