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1720500903
SAM CLAYTON POTTER
SURPRISE, AZ
NPI
1720500903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2017-07-10
Last Update Date
2017-07-10
Business Address
SAM CLAYTON POTTER
16107 N 165TH LN
SURPRISE, AZ 85388-1141
Phone number: 623-337-2511
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Mailing Address
SAM CLAYTON POTTER
16107 N 165TH LN
SURPRISE, AZ 85388-1141
Phone number:
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