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1992293740
AUDREY MARIE SAMPSON
FORT WORTH, TX
NPI
1992293740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-27
Last Update Date
2018-04-27
Business Address
AUDREY MARIE SAMPSON
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1173
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Mailing Address
AUDREY MARIE SAMPSON
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-1173
Copy
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