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1407393143
SAMANTHA WILSON
LINCOLN, NE
NPI
1407393143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 672)
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
-- SAMANTHA WILSON ATC
1900 BROADMOORE DRIVE
LINCOLN, NE 68506
Phone number: 507-951-3128
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Mailing Address
-- SAMANTHA WILSON ATC
1900 BROADMOORE DR
LINCOLN, NE 68506-2316
Phone number: 507-951-3128
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