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1992109136
SAMANTHA DAVIS
ATHENS, GA
NPI
1992109136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT004054)
Enumeration Date
2014-10-17
Last Update Date
2022-08-25
Business Address
SAMANTHA DAVIS
1 SELIG CIR
ATHENS, GA 30602-1501
Phone number: 706-542-2157
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Mailing Address
SAMANTHA DAVIS
PO BOX 1472
ATHENS, GA 30603-1472
Phone number: 706-542-2157
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