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Individual

ANGELA J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4930 BRADENTON AVE, DUBLIN, OH 43017-7502
(614) 336-9000
(614) 336-9001
Mailing address
4930 BRADENTON AVE, DUBLIN, OH 43017-7502

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025195
OH

Other

Enumeration date
07/29/2019
Last updated
07/29/2019
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