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Individual
VINCE SAMSON
Active
Individual
VINCE SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2145642
TX
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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