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1023720091
TAMARA SAMPLES
CARTERVILLE, IL
NPI
1023720091
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Former Name
TAMARA WATERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
TAMARA SAMPLES MS
403 MUNICIPAL DR
CARTERVILLE, IL 62918-2042
Phone number: 855-608-3560
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Mailing Address
TAMARA SAMPLES MS
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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