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1255534921
PAMELA CORSON
RENO, NV
NPI
1255534921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
(Licence: NV 9194)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
-- PAMELA CORSON MD
971 W MOANA LN
RENO, NV 89509-4844
Phone number: 775-829-7999
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Mailing Address
-- PAMELA CORSON MD
3495 LAKESIDE DR 205
RENO, NV 89509-4841
Phone number: 775-829-7999
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