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1467184879
SAMANTHA OCTAVIA EVERSOLE
WHITESBURG, KY
NPI
1467184879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-26
Last Update Date
2022-06-26
Business Address
SAMANTHA OCTAVIA EVERSOLE DO
240 HOSPITAL RD
WHITESBURG, KY 41858-7627
Phone number: 606-633-3500
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Mailing Address
SAMANTHA OCTAVIA EVERSOLE DO
73 RALEIGH RD
CHAVIES, KY 41727-9049
Phone number: 606-216-5640
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