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Individual

SAMANTHA CAPUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 ALFORD PARK DR, KENOSHA, WI 53140-1929
(847) 909-1879
Mailing address
2914 EMERSON ST, FRANKLIN PARK, IL 60131-2617

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
WI

Other

Enumeration date
05/04/2017
Last updated
05/04/2017
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