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1396496550
PAMELA MARTIN
URBANA, IL
NPI
1396496550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209020231)
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
PAMELA MARTIN CNP
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-902-3633
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Mailing Address
PAMELA MARTIN CNP
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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