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Tamra Smoke

NPI Registration Record

Provider / OrganizationNPIDate Certified
TAMRA SMOKE11943270642020-11-14
Entity TypeIndividual
Provider Name Tamra Smoke
Practice Office Address8944 STATE ROUTE 656
MARENGO, OH US
Practice Office Telephone7406257700
Mailing Address8944 STATE ROUTE 656
MARENGO, OH 433349504 US
Business Telephone7406257700
HPT Codes
CodeLicense NoState
376J00000X PRIMARY
OPI Codes

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