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1639402654
SAMANTHA REBEKAH VILLA
SAN DIEGO, CA
NPI
1639402654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001682)
Enumeration Date
2009-09-09
Last Update Date
2021-02-02
Business Address
SAMANTHA REBEKAH VILLA MS, ATC
3117 30TH ST
SAN DIEGO, CA 92104-4505
Phone number: 619-417-6451
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Mailing Address
SAMANTHA REBEKAH VILLA MS, ATC
3266 NUTMEG STREET ATHLETIC TRAINING FACILITY
SAN DIEGO, CA 92104
Phone number: 619-282-2184
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