SAMANTHA STARK

MENOMONEE FALLS, WI
NPI1730815234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1114-39)
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
SAMANTHA STARK ATC, LAT
N91W15750 FALLS PKWY
MENOMONEE FALLS, WI 53051-2301
Phone number: 262-532-1100
Mailing Address
SAMANTHA STARK ATC, LAT
1015 5TH AVE
GRAFTON, WI 53024-1801
Phone number:
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