RANDA SAMANTHA HART

FAYETTE, MO
NPI1689127938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2015023207)
Enumeration Date2016-08-03
Last Update Date2016-08-03
Business Address
-- RANDA SAMANTHA HART LAT, ATC
411 CENTRAL METHODIST SQ ATHLETIC TRAINING
FAYETTE, MO 65248-1104
Phone number: 660-248-6978
Mailing Address
-- RANDA SAMANTHA HART LAT, ATC
411 CENTRAL METHODIST SQ ATHLETIC TRAINING
FAYETTE, MO 65248-1104
Phone number: 660-248-6978
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