SAMANTHA BUSCH

BOONE, IA
NPI1891072534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  000935)
Enumeration Date2011-11-09
Last Update Date2016-05-26
Business Address
-- SAMANTHA BUSCH MS, ATC, CES
1015 UNION ST
BOONE, IA 50036-4821
Phone number: 319-415-1212
Mailing Address
-- SAMANTHA BUSCH MS, ATC, CES
405 N OAK ST
JEFFERSON, IA 50129-1429
Phone number: 319-415-1212
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