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1518459262
SAMANTHA MARIE FALCONE
BROOKHAVEN, GA
NPI
1518459262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: GA AT003051)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
SAMANTHA MARIE FALCONE ATC
1968 HAWKS LN NE
BROOKHAVEN, GA 30329
Phone number: 404-251-2537
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Mailing Address
SAMANTHA MARIE FALCONE ATC
8259 WICKER AVE
SAINT JOHN, IN 46373-8878
Phone number: 800-341-1703
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