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1558071043
SAMANTHA MARIE SHAW
JERSEY CITY, NJ
NPI
1558071043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00306800)
Enumeration Date
2022-11-25
Last Update Date
2022-11-25
Business Address
SAMANTHA MARIE SHAW ATC
870 MONTGOMERY ST.
JERSEY CITY, NJ 07306
Phone number: 714-356-8971
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Mailing Address
SAMANTHA MARIE SHAW ATC
870 MONTGOMERY ST.
JERSEY CITY, NJ 07306
Phone number:
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