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Individual

CHLOE SAMANTHA SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
9650 GREEN SPOT PL., REQ, BAINBRIDGE ISLAND, WA 98110
(206) 842-4607
Mailing address
9650 GREEN SPOT PL NE, BAINBRIDGE ISLAND, WA 98110-1958
(206) 842-4607

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/18/2019
Last updated
04/18/2019
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