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1184155632
SAMANTHA KOENIG
ROANOKE, VA
NPI
1184155632
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Former Name
SAMANTHA CRAVENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
-- SAMANTHA KOENIG
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
-- SAMANTHA KOENIG
1213 INTERLACKEN RD
SPRINGFIELD, IL 62704-2131
Phone number: 309-944-7941
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