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1992223655
SAMANTHA JO SHRUCK
FRANKLIN, IN
NPI
1992223655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002902A)
Enumeration Date
2017-09-01
Last Update Date
2017-09-01
Business Address
SAMANTHA JO SHRUCK LAT, ATC
101 BRANIGIN BLVD
FRANKLIN, IN 46131-2598
Phone number: 317-738-8173
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Mailing Address
SAMANTHA JO SHRUCK LAT, ATC
101 BRANIGIN BLVD
FRANKLIN, IN 46131-2598
Phone number:
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