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1164144820
SAMANTHA RAE KING
FORT WORTH, TX
NPI
1164144820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: TX AT9017)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
Miss SAMANTHA RAE KING LAT, ATC
3500 BELLAIRE DRIVE
FORT WORTH, TX 76109
Phone number: 862-380-0003
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Mailing Address
Miss SAMANTHA RAE KING LAT, ATC
4000 HULEN PL APT 418
FORT WORTH, TX 76107-7380
Phone number: 303-288-5067
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