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1124661434
SAMANTHA NICOLE THIENES
CAPE GIRARDEAU, MO
NPI
1124661434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
SAMANTHA NICOLE THIENES
1 UNIVERSITY PLZ
CAPE GIRARDEAU, MO 63701-4710
Phone number: 573-651-2000
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Mailing Address
SAMANTHA NICOLE THIENES
1622 INDIAN SUMMER DR
FENTON, MO 63026-6948
Phone number: 314-775-6947
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