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1487483590
SAMANTHA AASTRUP
CENTERTON, AR
NPI
1487483590
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Former Name
SAMANTHA SPARKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4152)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
SAMANTHA AASTRUP
429 W CENTERTON BLVD
CENTERTON, AR 72719-8701
Phone number: 479-246-0101
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Mailing Address
SAMANTHA AASTRUP
150 WILLOW DR
CENTERTON, AR 72719-7930
Phone number:
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