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1295381580
SAMANTHA BURROWS
LA PORTE, IN
NPI
1295381580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002900A)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
SAMANTHA BURROWS LAT, ATC
1007 LINCOLNWAY
LA PORTE, IN 46350-3201
Phone number: 219-326-1234
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Mailing Address
SAMANTHA BURROWS LAT, ATC
5709 DANBURY DR
SOUTH BEND, IN 46614-6047
Phone number: 574-303-4506
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