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Individual

MRS. SAMANTHA BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N. BSN

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0489
Mailing address
948 WHEATFIELD CT, CLARKSVILLE, TN 37040-5470

Taxonomy

Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
RN0000149128
TN

Other

Enumeration date
07/17/2009
Last updated
07/17/2009
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