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1104297050
SAMUEL EISENS
WEST PALM BEACH, FL
NPI
1104297050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 2169)
Enumeration Date
2015-10-16
Last Update Date
2015-10-16
Business Address
-- SAMUEL EISENS ATC, LAT
901 S FLAGLER DR
WEST PALM BEACH, FL 33401-6505
Phone number: 561-803-2338
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Mailing Address
-- SAMUEL EISENS ATC, LAT
1091 WINDING ROSE WAY
WEST PALM BEACH, FL 33415-4479
Phone number: 336-213-0831
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