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1013140300
PAMELA BONENBERGER
KADOKA, SD
NPI
1013140300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SD 028577-01)
Enumeration Date
2009-09-02
Last Update Date
2009-09-02
Business Address
-- PAMELA BONENBERGER MA
110 POPLAR STREET
KADOKA, SD 57543
Phone number: 605-837-2731
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Mailing Address
-- PAMELA BONENBERGER MA
PO BOX 483
KADOKA, SD 57543-0483
Phone number: 605-837-2731
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