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Individual

PAMELA OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1187 E HERNDON AVE STE 106, FRESNO, CA 93720-3166
(559) 224-0900
(559) 224-9009
Mailing address
3812 N 1ST ST, FRESNO, CA 93726-4301
(559) 495-3120
(559) 441-4271

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15739
CA

Other

Enumeration date
08/03/2011
Last updated
10/13/2011
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