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Individual

ERIC SMOAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PRS

Contact information

Practice address
1350 KELTON AVE, COLUMBUS, OH 43206-3233
(614) 214-6032
Mailing address
1350 KELTON AVE, COLUMBUS, OH 43206-3233
(614) 214-6032

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OH

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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