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Individual
PAMELA MARIE BORDONARO
Active
Individual
PAMELA MARIE BORDONARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
633572
CA
363L00000X
Nurse Practitioner
Primary
22326
CA
363LA2100X
Acute Care Nurse Practitioner
22326
CA
Other
Enumeration date
09/14/2012
Last updated
10/16/2012
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