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1124067038
PAMELA A BANTAM COOPER
LAWRENCE, KS
NPI
1124067038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: KS LCP 0109)
Enumeration Date
2006-06-06
Last Update Date
2019-05-31
Business Address
PAMELA A BANTAM COOPER M.S.
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number: 785-843-9192
Copy
Mailing Address
PAMELA A BANTAM COOPER M.S.
200 MAINE ST STE A
LAWRENCE, KS 66044-1396
Phone number: 785-843-9192
Copy
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