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1538782164
SAMANTHA ROSE CARR
FAIRFAX, VA
NPI
1538782164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126003127)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
Ms. SAMANTHA ROSE CARR LAT, ATC
10517 BRADDOCK RD STE D
FAIRFAX, VA 22032-2275
Phone number: 571-351-5618
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Mailing Address
Ms. SAMANTHA ROSE CARR LAT, ATC
3300 PLANTATION PKWY
FAIRFAX, VA 22030-1904
Phone number:
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