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1003338104
SAMANTHA LYNN HAIDEN
GLEN ELLYN, IL
NPI
1003338104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7197)
Enumeration Date
2017-07-10
Last Update Date
2022-07-21
Business Address
SAMANTHA LYNN HAIDEN BHS, ATC, LAT
2N150 DIANE AVE
GLEN ELLYN, IL 60137-3138
Phone number: 630-297-1120
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Mailing Address
SAMANTHA LYNN HAIDEN BHS, ATC, LAT
2N150 DIANE AVE
GLEN ELLYN, IL 60137-3138
Phone number: 630-297-1120
Copy
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