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Individual
PAMELA J DAVIS
Active
Individual
PAMELA J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
109624
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2362518
—
OH
Enumeration date
02/28/2008
Last updated
02/28/2008
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