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1306532734
SHANE SAMPSON
DETROIT, MI
NPI
1306532734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-18
Last Update Date
2023-08-11
Business Address
SHANE SAMPSON MD
4201 SAINT ANTOINE, STE. 8C-UHC
DETROIT, MI 48201
Phone number: 313-745-1302
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Mailing Address
SHANE SAMPSON MD
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-6035
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