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1023516754
SAMANTHA WALSH
CHARLOTTE, NC
NPI
1023516754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-01-29
Last Update Date
2018-04-24
Business Address
SAMANTHA WALSH PAC
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 407-433-2657
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Mailing Address
SAMANTHA WALSH PAC
5009 UNIVERSITY AVE STE C
LUBBOCK, TX 79413-4432
Phone number: 214-945-4043
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