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1437800570
SAMANTHA BEAULIUA
CANTON, MO
NPI
1437800570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
SAMANTHA BEAULIUA
606 N 5TH ST
CANTON, MO 63435-1100
Phone number: 605-400-0171
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Mailing Address
SAMANTHA BEAULIUA
1 COLLEGE HL
CANTON, MO 63435-1299
Phone number:
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