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Individual

PAMELA SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
90B COUNTY ROAD 127, ESPANOLA, NM 87532-3186
(505) 747-7321
Mailing address
90B COUNTY ROAD 127, PO BOX 804, ESPANOLA, NM 87532-3186
(505) 747-7321

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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