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1366985475
CARLYN SAMUELSON
WILLIAMSBURG, KY
NPI
1366985475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126002487)
Enumeration Date
2016-11-21
Last Update Date
2016-11-21
Business Address
-- CARLYN SAMUELSON ATC
7000 COLLEGE STATION DR
WILLIAMSBURG, KY 40769-1381
Phone number: 606-539-4369
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Mailing Address
-- CARLYN SAMUELSON ATC
PO BOX 321
DRAPER, VA 24324-0321
Phone number: 540-250-1445
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