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1518108828
SAMANTHA COCHRAN
PORTAGE, IN
NPI
1518108828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001535A)
Enumeration Date
2009-03-16
Last Update Date
2009-03-16
Business Address
Miss SAMANTHA COCHRAN ATC, LAT
3691 WILLOWCREEK RD
PORTAGE, IN 46368-5076
Phone number: 219-759-4380
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Mailing Address
Miss SAMANTHA COCHRAN ATC, LAT
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number:
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