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1295182103
SAMANTHA HACHERL
FAIRFAX, VA
NPI
1295182103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-05-20
Last Update Date
2018-03-01
Business Address
SAMANTHA HACHERL ATC
4400 UNIVERSITY DR
FAIRFAX, VA 22030-4422
Phone number: 703-993-1000
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Mailing Address
SAMANTHA HACHERL ATC
9824 UPPER MILL LOOP
BRISTOW, VA 20136-2410
Phone number:
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