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1124018668
PAMELA R MCCULLOCH
FORT WAYNE, IN
NPI
1124018668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01040377)
Enumeration Date
2005-10-26
Last Update Date
2007-10-29
Business Address
-- PAMELA R MCCULLOCH MD
5734 COVENTRY LN
FORT WAYNE, IN 46804-7141
Phone number: 260-436-7875
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Mailing Address
-- PAMELA R MCCULLOCH MD
PO BOX 633260
CINCINNATI, OH 45263-3260
Phone number: 317-802-6303
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