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1083496517
SAMANTHA NICOLE HENSLEY
FORT BLISS, TX
NPI
1083496517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT7796)
Enumeration Date
2023-10-18
Last Update Date
2023-11-14
Business Address
SAMANTHA NICOLE HENSLEY LAT, ATC
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-974-1677
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Mailing Address
SAMANTHA NICOLE HENSLEY LAT, ATC
2802 SAGE BRUSH DR
CORPUS CHRISTI, TX 78410-2134
Phone number: 361-945-2645
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