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1770946584
SAMANTHA BETHANY TAYLOR
COLLEGEVILLE, MN
NPI
1770946584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2771)
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
-- SAMANTHA BETHANY TAYLOR ATC
2585 ABBEY ROAD
COLLEGEVILLE, MN 56321
Phone number: 320-363-3813
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Mailing Address
-- SAMANTHA BETHANY TAYLOR ATC
PO BOX 7277
COLLEGEVILLE, MN 56321-7277
Phone number: 320-363-3813
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