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Individual

PAMELA MACON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
221 RIDGE AVE, NEW KENSINGTON, PA 15068-5432
(724) 575-5059
(412) 593-5116
Mailing address
1225 TAYLOR AVE APT 1, NEW KENSINGTON, PA 15068-5553
(724) 575-5059
(412) 593-5116

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PA

Other

Enumeration date
06/16/2020
Last updated
06/16/2020
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