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1255672622
PAMELA JANE LARSEN
MILWAUKEE, WI
NPI
1255672622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MN A1650)
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
-- PAMELA JANE LARSEN PTA
10150 W NATIONAL AVE SUITE 150
MILWAUKEE, WI 53227-2145
Phone number: 800-439-7012
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Mailing Address
-- PAMELA JANE LARSEN PTA
525 12TH AVE S
SOUTH ST PAUL, MN 55075-2715
Phone number: 907-232-8434
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