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PAMELA SLOCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5496
Mailing address
PO BOX 124, 135 GREENDALE RD, BELMONT, VT 05730-0124
(802) 259-2640

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0354
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0354
STATE LICENSE
NH
05
30330827
NH
Enumeration date
09/20/2006
Last updated
07/08/2007
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