Individual
MRS. PAMELA MARIE SIMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
66 8TH AVE, FRUITPORT, MI 49415-9664
(616) 604-6540
Mailing address
66 8TH AVE, FRUITPORT, MI 49415-9664
(616) 604-6540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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