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1497368443
SAMANTHA MARIE NELSON
GREEN BAY, WI
NPI
1497368443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601002813)
Enumeration Date
2020-08-28
Last Update Date
2022-10-05
Business Address
SAMANTHA MARIE NELSON ATC, LAC
1970 S RIDGE RD
GREEN BAY, WI 54304-4125
Phone number: 920-430-4888
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Mailing Address
SAMANTHA MARIE NELSON ATC, LAC
9857 BONEY FALLS H RD
CORNELL, MI 49818-9528
Phone number: 906-399-0233
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