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Individual
SAMANTHA LEE FAULKNER
Active
Individual
SAMANTHA LEE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001165
IA
2255A2300X
Athletic Trainer
096004831
IL
2255A2300X
Athletic Trainer
Primary
2013030176
MO
Other
Enumeration date
10/09/2014
Last updated
03/13/2023
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