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Organization

PAMELA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA FAYE ROUNDTREE (PHLEBOTOMY)
(419) 973-6420
Entity
Organization

Contact information

Practice address
1167 LINCOLN AVE, TOLEDO, OH 43607-1924
(419) 973-6420
Mailing address
1167 LINCOLN AVE, TOLEDO, OH 43607-1924

Taxonomy

Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
OH

Other

Enumeration date
07/18/2014
Last updated
07/18/2014
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