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Individual

MR. TERRANCE SMITH SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1524 WOODLAND AVE, TOLEDO, OH 43607-3982
(419) 403-0296
Mailing address
1524 WOODLAND AVE, TOLEDO, OH 43607-3982

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
OH
251S00000X
Community/Behavioral Health Agency
OH
347E00000X
Transportation Broker
Primary
OH

Other

Enumeration date
03/09/2022
Last updated
10/04/2025
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