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1902364078
SAMANTHA BURBANK
MORAINE, OH
NPI
1902364078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-03-07
Last Update Date
2019-12-05
Business Address
SAMANTHA BURBANK
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300
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Mailing Address
SAMANTHA BURBANK
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300
Copy
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