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1053597351
PAMELA R BANKSTON
PINEVILLE, LA
NPI
1053597351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 5289)
Enumeration Date
2008-01-16
Last Update Date
2008-01-16
Business Address
Mrs. PAMELA R BANKSTON M.S., CCC-SLP
208 SWEETWATER RIM
PINEVILLE, LA 71360-5691
Phone number: 318-419-8176
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Mailing Address
Mrs. PAMELA R BANKSTON M.S., CCC-SLP
PO BOX 486
LIVINGSTON, LA 70754-0486
Phone number: 225-686-8810
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