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1144543760
PAMELA LYNN TILLMAN
GRAND ISLAND, NE
NPI
1144543760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NE 9099)
Enumeration Date
2010-03-10
Last Update Date
2010-03-10
Business Address
MRS. PAMELA LYNN TILLMAN PMHP
3532 W CAPITAL AVE
GRAND ISLAND, NE 68803-1205
Phone number: 308-381-7487
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Mailing Address
MRS. PAMELA LYNN TILLMAN PMHP
PO BOX 5858
GRAND ISLAND, NE 68802-5858
Phone number: 308-381-7487
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