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1346740248
SAMANTHA LEE PERDIDO
KAHULUI, HI
NPI
1346740248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
SAMANTHA LEE PERDIDO ATC
169 KALEPA PL
KAHULUI, HI 96732-2456
Phone number: 800-742-5642
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Mailing Address
SAMANTHA LEE PERDIDO ATC
182 UPPER KIMO DR
KULA, HI 96790-8049
Phone number: 808-357-9202
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