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1891266995
SAMANTHA NICOLE WINEBARK
RICHMOND, VA
NPI
1891266995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110006674)
Enumeration Date
2018-12-16
Last Update Date
2021-01-13
Business Address
SAMANTHA NICOLE WINEBARK
7101 JAHNKE RD
RICHMOND, VA 23225
Phone number: 804-483-0000
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Mailing Address
SAMANTHA NICOLE WINEBARK
505 PORTER ST APT 610
RICHMOND, VA 23224-2368
Phone number: 724-599-5764
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