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Individual

SAMANTHA LUCILLE RADEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
100 WARTBURG BLVD, DEPARTMENT OF ATHLETICS-WARTBURG COLLEGE, WAVERLY, IA 50677-2215
(319) 352-8725
(319) 352-8528
Mailing address
100 WARTBURG BLVD, DEPARTMENT OF ATHLETICS-WARTBURG COLLEGE, WAVERLY, IA 50677-2215
(319) 352-8725
(319) 352-8528

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000641
IA

Other

Enumeration date
02/03/2009
Last updated
02/03/2009
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