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1811417702
SAMANTHA ENNEKING
COLUMBUS, OH
NPI
1811417702
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Former Name
SAMANTHA MACIOCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.005118RX)
Enumeration Date
2017-06-22
Last Update Date
2024-10-14
Business Address
SAMANTHA ENNEKING PA
85 MCNAUGHTEN RD
COLUMBUS, OH 43213-2174
Phone number: 614-627-1430
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Mailing Address
SAMANTHA ENNEKING PA
85 MCNAUGHTEN RD
COLUMBUS, OH 43213-2174
Phone number:
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