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1275562134
PAMELA L SHADE
LOS ANGELES, CA
NPI
1275562134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA NA3168)
Enumeration Date
2006-07-02
Last Update Date
2007-07-08
Business Address
-- PAMELA L SHADE CRNA
10833 LE CONTE AVE
LOS ANGELES, CA 90095-3075
Phone number: 310-825-9111
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Mailing Address
-- PAMELA L SHADE CRNA
FILE 4501
LOS ANGELES, CA 90074-0001
Phone number: 503-372-2740
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