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1588105944
PAMELA JELLEN
MARION, IL
NPI
1588105944
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Former Name
PAMELA MOTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: IL 209015783)
Enumeration Date
2017-03-17
Last Update Date
2017-03-17
Business Address
-- PAMELA JELLEN CNM
3408 OFFICE PARK DR
MARION, IL 62959-6477
Phone number: 618-997-5266
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Mailing Address
-- PAMELA JELLEN CNM
1407 MCPHERSON AVE
MOUNT VERNON, IL 62864-2822
Phone number: 618-997-5266
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