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1336819549
SAMANTHA ARIEL POTTORF
HUNTSVILLE, AL
NPI
1336819549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-168543)
Enumeration Date
2021-09-18
Last Update Date
2021-09-18
Business Address
SAMANTHA ARIEL POTTORF CRNP
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801-4312
Phone number: 256-533-3388
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Mailing Address
SAMANTHA ARIEL POTTORF CRNP
4601 PHEASANT COVE DR SE
OWENS CROSS ROADS, AL 35763-3017
Phone number: 309-738-9990
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