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1700256419
SAMANTHA SHIRLEY
SPRINGFIELD, MA
NPI
1700256419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 2747)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
Miss SAMANTHA SHIRLEY ATC
6 SUMNER AVENUE APT 11
SPRINGFIELD, MA 01108
Phone number: 860-539-5125
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Mailing Address
Miss SAMANTHA SHIRLEY ATC
6 SUMNER AVE APT 11
SPRINGFIELD, MA 01108-2345
Phone number: 860-539-5125
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