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Individual
DR. PAMELA LOUISE TICKEL
Active
Individual
DR. PAMELA LOUISE TICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003947
IL
111N00000X
Chiropractor
3041
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200101
BCBS
OH
Enumeration date
09/20/2006
Last updated
03/19/2018
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