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Individual

SAMANTHA NICOLE HENSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 974-1677
Mailing address
2802 SAGE BRUSH DR, CORPUS CHRISTI, TX 78410-2134
(361) 945-2645

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7796
TX

Other

Enumeration date
10/18/2023
Last updated
11/14/2023
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