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1992381321
SAMANTHA DORA CREAGER
PORT ORANGE, FL
NPI
1992381321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: FL 30656)
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
SAMANTHA DORA CREAGER PTA
5535 S WILLIAMSON BLVD STE 700
PORT ORANGE, FL 32128-8321
Phone number: 386-231-6327
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Mailing Address
SAMANTHA DORA CREAGER PTA
51 CAMBRIDGE TRCE
ORMOND BEACH, FL 32174-2471
Phone number: 937-620-7931
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