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1932510377
SAMANTHA IRENE CLARK
FPO, AE
NPI
1932510377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
-- SAMANTHA IRENE CLARK IDC
PSC 851 BOX 340
FPO, AE 09834-0004
Phone number: 318-439-9053
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Mailing Address
-- SAMANTHA IRENE CLARK IDC
PSC 851 BOX 340
FPO, AE 09834-0004
Phone number: 508-361-7875
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