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1104134998
PAMELA R. DORMAN
STATEN ISLAND, NY
NPI
1104134998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY NY63014332)
Enumeration Date
2010-09-15
Last Update Date
2010-09-15
Business Address
-- PAMELA R. DORMAN O.T.R.
962 MANOR RD
STATEN ISLAND, NY 10314-7011
Phone number: 718-982-5944
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Mailing Address
-- PAMELA R. DORMAN O.T.R.
962 MANOR RD
STATEN ISLAND, NY 10314-7011
Phone number: 718-982-5944
Copy
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