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Rounding out the top 10 worst states for smoking habits with North Carolina in the study were Tennessee with a score of 20.41, West Virginia with a score of 21.70, Louisiana with a score of 28.01, Oklahoma with a score of 30.10, Nevada with a score of 31.28, South Dakota with a score of 32.30, Missouri with a score of 32.72, Mississippi with a score of 32.92, and Alabama with a score of 33.09

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