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1316513583
SAMANTHA E VANDERBURG
BROKEN ARROW, OK
NPI
1316513583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 2928)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
SAMANTHA E VANDERBURG PTA
204 S SWEET GUM PL
BROKEN ARROW, OK 74012-4587
Phone number: 918-284-4220
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Mailing Address
SAMANTHA E VANDERBURG PTA
2608 W KENOSHA ST # 496
BROKEN ARROW, OK 74012-8952
Phone number: 918-284-4220
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