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Individual

MRS. AMY LOUISE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD LD

Contact information

Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2552
Mailing address
1545 OAKRIDGE DR, BUCYRUS, OH 44820-3532
(419) 562-7992

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD5465
OH

Other

Enumeration date
04/13/2007
Last updated
07/08/2007
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