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Samantha Pate

NPI 1568808954 · on the registry since 2013 · sole proprietor

Practice

Address
18703 County Road C
Valders, WI 54245
Phone
(920) 242-7526

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin