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1730556796
SAMANTHA FORD
GRAND RAPIDS, MI
NPI
1730556796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1576)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- SAMANTHA FORD ATC
4100 LAKE DR SE
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
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Mailing Address
-- SAMANTHA FORD ATC
4100 LAKE DR SE
GRAND RAPIDS, MI 49546-8292
Phone number:
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