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Individual

MRS. PAMELA BETH REBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
17505 N 79TH AVE, SUITE 111-C, GLENDALE, AZ 85308-8725
(623) 295-9217
Mailing address
17505 N 79TH AVE, SUITE 111-C, GLENDALE, AZ 85308-8725
(623) 295-9217

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-13887
AZ

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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